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1003308206
SHANIECE DEGAZON
CRANFORD, NJ
NPI
1003308206
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: NJ 40QA01788400)
Enumeration Date
2018-06-04
Last Update Date
2018-06-04
Business Address
Dr. SHANIECE DEGAZON DPT
45 SOUTH AVE W STE 101
CRANFORD, NJ 07016-2686
Phone number: 908-709-7300
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Mailing Address
Dr. SHANIECE DEGAZON DPT
91 WOODHAVEN DR
WAYNE, NJ 07470-5166
Phone number: 609-558-5333
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