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Organization

LEBIAN INC

Active
Other names
Purebred Athletics
Organization subpart
No

Provider details

NPI number
Authorized official
IAN HOGAN LMT (PRESIDENT)
(518) 406-8788
Entity
Organization

Contact information

Practice address
11 SOLAR DR, C, CLIFTON PARK, NY 12065-3402
(518) 406-8788
Mailing address
11 SOLAR DR, C, CLIFTON PARK, NY 12065-3402
(518) 406-8788

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
012126
NY
225700000X
Massage Therapist
024220
NY
225700000X
Massage Therapist
024782
NY
225700000X
Massage Therapist
026344
NY

Other

Enumeration date
03/05/2015
Last updated
04/11/2015
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