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1275932568
MATTHEW DIFEDE
FORT LIBERTY, NC
NPI
1275932568
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: MI 5501018737)
Enumeration Date
2014-08-22
Last Update Date
2024-04-09
Business Address
MATTHEW DIFEDE
2817 ROCK MERRITT AVENUE
FORT LIBERTY, NC 28310-4030
Phone number: 631-275-6237
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Mailing Address
MATTHEW DIFEDE
9697 HEATHER LN
MANHATTAN, KS 66502-1884
Phone number: 631-275-6237
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