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1265839278
LESLIE FONTANEZ
FAIR LAWN, NJ
NPI
1265839278
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: NJ 40QB00299400)
Enumeration Date
2014-11-20
Last Update Date
2014-11-20
Business Address
-- LESLIE FONTANEZ PTA
12-15 SADDLE RIVER RD
FAIR LAWN, NJ 07410-5808
Phone number: 201-797-9522
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Mailing Address
-- LESLIE FONTANEZ PTA
12-15 SADDLE RIVER ROAD
FAIR LAWN, NJ 07410
Phone number:
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