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1194759340
EVANGELINE Q LAXAMANA
HACKENSACK, NJ
NPI
1194759340
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: NJ 40QA01154700)
Enumeration Date
2006-07-11
Last Update Date
2007-07-08
Business Address
MRS. EVANGELINE Q LAXAMANA RPT
385 PROSPECT AVE
HACKENSACK, NJ 07601-2570
Phone number: 201-968-0303
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Mailing Address
MRS. EVANGELINE Q LAXAMANA RPT
385 PROSPECT AVE
HACKENSACK, NJ 07601-2570
Phone number: 201-968-0303
Copy
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