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1114556602
JONATHAN PAUL STARK
SPARTA, NJ
NPI
1114556602
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: NJ 40QA01802200)
Enumeration Date
2020-04-06
Last Update Date
2020-04-06
Business Address
JONATHAN PAUL STARK PT DPT
580 STATE ROUTE 15
SPARTA, NJ 07871-3483
Phone number: 973-862-4177
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Mailing Address
JONATHAN PAUL STARK PT DPT
38 PARK ST APT 11D
FLORHAM PARK, NJ 07932-1736
Phone number:
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