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1063916971
JED MARIE DOMINGUEZ
JERSEY CITY, NJ
NPI
1063916971
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: NJ 40QA01782600)
Enumeration Date
2018-03-23
Last Update Date
2018-03-23
Business Address
JED MARIE DOMINGUEZ
701 STATE RT 440 STE 21
JERSEY CITY, NJ 07304-1069
Phone number: 201-315-9859
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Mailing Address
JED MARIE DOMINGUEZ
3 ROSE CT FL 2
BAYONNE, NJ 07002-1291
Phone number:
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