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Individual
MRS. THRESIAKUTTY VINCENT THANCHAN
Active
Individual
MRS. THRESIAKUTTY VINCENT THANCHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
490848
NY
225100000X
Physical Therapist
Primary
031123-1
NY
Other
Enumeration date
07/25/2007
Last updated
11/05/2014
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