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1275522336
KENNETH HOWARD MAILLY
WAYNE, NJ
NPI
1275522336
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: NJ 40QA00335900)
Enumeration Date
2005-10-20
Last Update Date
2008-08-04
Business Address
Mr. KENNETH HOWARD MAILLY P.T.
68 SENECA TRL
WAYNE, NJ 07470-4427
Phone number: 973-692-0033
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Mailing Address
Mr. KENNETH HOWARD MAILLY P.T.
68 SENECA TRL
WAYNE, NJ 07470-4427
Phone number: 973-692-0033
Copy
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