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1205377025
GLENDOLIN GRANT
PASSAIC, NJ
NPI
1205377025
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225700000X Massage Therapist
(Licence: NJ 18KT00952700)
Enumeration Date
2017-03-13
Last Update Date
2017-03-13
Business Address
-- GLENDOLIN GRANT MT
105 VAN BUREN ST
PASSAIC, NJ 07055
Phone number: 201-724-4870
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Mailing Address
-- GLENDOLIN GRANT MT
105 VAN BUREN ST
PASSAIC, NJ 07055
Phone number: 201-724-4870
Copy
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