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Individual

ANGIELA MARIE GRANJA AURELIO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
5875 NIGHT WIND CIR, JAMESVILLE, NY 13078-6475
(917) 742-0908
Mailing address
5875 NIGHT WIND CIR, JAMESVILLE, NY 13078-6475
(917) 742-0908

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
39747
NY

Other

Enumeration date
01/17/2021
Last updated
01/17/2021
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