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1083198790
JENALYN D VERGARA
MYSTIC, CT
NPI
1083198790
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: CT 008043)
Enumeration Date
2018-09-18
Last Update Date
2018-09-18
Business Address
JENALYN D VERGARA PT
186 JERRY BROWNE RD
MYSTIC, CT 06355-4004
Phone number: 860-572-5675
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Mailing Address
JENALYN D VERGARA PT
29 ENSIGN DR
MYSTIC, CT 06355-1530
Phone number: 631-882-5464
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