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1174953301
JOHN PAUL WIGGINS
NORTHPORT, NY
NPI
1174953301
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: NY 037065)
Enumeration Date
2013-11-25
Last Update Date
2013-11-25
Business Address
Mr. JOHN PAUL WIGGINS DPT
3 WOODHULL CT
NORTHPORT, NY 11768-2844
Phone number: 631-757-9371
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Mailing Address
Mr. JOHN PAUL WIGGINS DPT
3 WOODHULL CT
NORTHPORT, NY 11768-2844
Phone number: 631-757-9371
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