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1194155796
SANDRA DEZENDORF
EDISON, NJ
NPI
1194155796
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225700000X Massage Therapist
(Licence: NV 18KT00433700)
Enumeration Date
2013-11-18
Last Update Date
2013-11-18
Business Address
-- SANDRA DEZENDORF
40 RIEDER RD
EDISON, NJ 08817-2805
Phone number: 848-210-3946
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Mailing Address
-- SANDRA DEZENDORF
40 RIEDER RD
EDISON, NJ 08817-2805
Phone number: 848-210-3946
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