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1154672632
SERENA I BASCIANO
NEWARK, NJ
NPI
1154672632
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Former Name
SERENA I FORBES
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: NJ 40QA01443500)
Enumeration Date
2012-09-25
Last Update Date
2015-01-14
Business Address
-- SERENA I BASCIANO PT, MsPT
266-272 CHESTNUT ST
NEWARK, NJ 07105-6521
Phone number: 973-732-3850
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Mailing Address
-- SERENA I BASCIANO PT, MsPT
PO BOX 1014
CLARK, NJ 07066-1014
Phone number: 732-855-9751
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