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1114114675
JENNIFER LOPEZ MOYA
NEWARK, DE
NPI
1114114675
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: DE J1-0002202)
Enumeration Date
2007-09-28
Last Update Date
2007-09-28
Business Address
Mrs. JENNIFER LOPEZ MOYA RPT
8 THREE RIVERS COURT
NEWARK, DE 19702-4262
Phone number: 302-836-1495
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Mailing Address
Mrs. JENNIFER LOPEZ MOYA RPT
3201 W. COMMERCIAL BLVD SUITE 116 C/O CHRISTINE ORTINO
FT. LAUDERDALE, FL 33309
Phone number: 954-332-4445
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