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1073641320
EDGAR GRANADOS
UNION, NJ
NPI
1073641320
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: NJ PT40QA01053100)
Enumeration Date
2007-03-01
Last Update Date
2007-07-08
Business Address
Mr. EDGAR GRANADOS
1036 STUYVESANT AVE
UNION, NJ 07083-6023
Phone number: 908-851-0800
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Mailing Address
Mr. EDGAR GRANADOS
31 FAIRMOUNT AVE
EDISON, NJ 08820-2032
Phone number: 732-494-3763
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