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1205427200
JASON MOLLENTHIEL
ELIZABETH, NJ
NPI
1205427200
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: NJ 40QA01984500)
Enumeration Date
2021-02-01
Last Update Date
2021-02-01
Business Address
JASON MOLLENTHIEL
511 WESTMINSTER AVE
ELIZABETH, NJ 07208-2202
Phone number: 908-558-9500
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Mailing Address
JASON MOLLENTHIEL
26 PERRY AVE
STATEN ISLAND, NY 10314-4002
Phone number: 917-209-9499
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