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1134469208
JOHN EVANGELISTA
MOUNT LAUREL, NJ
NPI
1134469208
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: NJ 40QA01477000)
Enumeration Date
2013-02-26
Last Update Date
2022-07-07
Business Address
Dr. JOHN EVANGELISTA DPT
523 FELLOWSHIP RD STE 290
MOUNT LAUREL, NJ 08054-3418
Phone number: 856-424-5552
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Mailing Address
Dr. JOHN EVANGELISTA DPT
523 FELLOWSHIP RD STE 290
MOUNT LAUREL, NJ 08054-3418
Phone number: 856-424-5552
Copy
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