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Individual

AARON BUMPUS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LMT

Contact information

Practice address
34 W 22ND ST, 2, NEW YORK, NY 10010-5805
(212) 255-5488
Mailing address
6205 WOODHAVEN BLVD, #2C, REGO PARK, NY 11374-2769
(718) 775-5249

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
029419
NY

Other

Enumeration date
06/27/2016
Last updated
06/28/2016
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