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1174754956
SHAWN ISHMAEL COLE
NEWARK, NJ
NPI
1174754956
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: NJ 40qb00265900)
Enumeration Date
2009-07-28
Last Update Date
2009-07-28
Business Address
Mr. SHAWN ISHMAEL COLE PTA
5 POMONA AVE APT 2H
NEWARK, NJ 07112-2300
Phone number: 973-392-2320
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Mailing Address
Mr. SHAWN ISHMAEL COLE PTA
5 POMONA AVE APT 2H
NEWARK, NJ 07112-2300
Phone number: 973-392-2320
Copy
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