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1104087097
CANDICE E DERUSHA
CONCORD, NH
NPI
1104087097
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: NH 3335)
Enumeration Date
2008-06-23
Last Update Date
2008-06-23
Business Address
Ms. CANDICE E DERUSHA PT
264 PLEASANT ST
CONCORD, NH 03301-2551
Phone number: 603-228-4610
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Mailing Address
Ms. CANDICE E DERUSHA PT
250 PLEASANT ST
CONCORD, NH 03301-7539
Phone number: 603-228-4610
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