1801142914

Everything you always wanted to know about MR. LIWASAN CAGOCO JEREMY SOLO P.T. but were afraid to ask.

MR. LIWASAN CAGOCO JEREMY SOLO P.T.

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Provider Prefix Provider Last Name Provider Middle Name Provider First Name Provider Credential
MR. LIWASAN CAGOCO JEREMY SOLO P.T.
Gender:
Male
Enumeration date:
2012-07-25
Last update date:
2012-07-25
Current as of:
Is sole proprietor?:
No
Is organization subpart?:
No
In PECOS?:
No
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Identifiers

identifier description issuer state

Taxonomies

Taxonomy State License Number Primary?
225100000X Physical Therapist NY 029263 N

Phone Numbers

Type Number
Mailing Address Telephone Number 7168672006
Practice Location Address Telephone Number 7168672006

Addresses

Type Address City State Postal Country
Mailing Address 16089 POPPYSEED CIR UNIT 2008 DELRAY BEACH FL 33484 FL
Practice Location Address 7580 OMNI LN APT 201 FORT MYERS FL 0 FL

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