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1043658719
LESLIE PRENDERGAST
WEST ORANGE, NJ
NPI
1043658719
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: NJ 40QA01293900)
Enumeration Date
2013-06-04
Last Update Date
2013-06-04
Business Address
MS. LESLIE PRENDERGAST PT
44 MANGER RD
WEST ORANGE, NJ 07052-1708
Phone number: 973-736-7121
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Mailing Address
MS. LESLIE PRENDERGAST PT
44 MANGER RD
WEST ORANGE, NJ 07052-1708
Phone number: 973-736-7121
Copy
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