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1316414923
WILSON DIEZ
MONTCLAIR, NJ
NPI
1316414923
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: NJ 40QA01827700)
Enumeration Date
2018-11-01
Last Update Date
2020-03-18
Business Address
WILSON DIEZ PT, DPT
15 BLOOMFIELD AVE
MONTCLAIR, NJ 07042-4888
Phone number: 973-744-2770
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Mailing Address
WILSON DIEZ PT, DPT
PO BOX 5261
SOMERSET, NJ 08875-5261
Phone number: 732-486-9809
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