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1134701766
FAYOLA O ETIENNE
WASHINGTON, DC
NPI
1134701766
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: MA 25408)
Enumeration Date
2021-04-23
Last Update Date
2021-04-23
Business Address
FAYOLA O ETIENNE DPT
1145 19TH ST NW STE 403
WASHINGTON, DC 20036-3716
Phone number: 202-721-7680
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Mailing Address
FAYOLA O ETIENNE DPT
4 HART DR N
SOUTH ORANGE, NJ 07079-1534
Phone number: 862-371-8510
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