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Individual

MR. JIBIN WANG

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
193-15 37TH AVE #177, FLUSHING, NY 11358
(917) 807-3155
Mailing address
193-15 37TH AVE #177, FLUSHING, NY 11358
(917) 807-3155

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
023225
NY

Other

Enumeration date
07/26/2010
Last updated
07/26/2010
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