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1215307087
SUSAN CARLSON
WHITING, NJ
NPI
1215307087
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: NJ 40Qa00277100)
Enumeration Date
2015-10-05
Last Update Date
2015-10-05
Business Address
-- SUSAN CARLSON DPT
401 LACEY RD STE A
WHITING, NJ 08759-1386
Phone number: 732-350-2355
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Mailing Address
-- SUSAN CARLSON DPT
401 LACEY RD STE A
WHITING, NJ 08759-1386
Phone number: 732-350-2355
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