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1326449216
CHRISTINA GRANQUIST
WEST ORANGE, NJ
NPI
1326449216
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: NJ 40QA01571700)
Enumeration Date
2014-09-10
Last Update Date
2016-04-26
Business Address
-- CHRISTINA GRANQUIST D.P.T.
622 EAGLE ROCK AVE
WEST ORANGE, NJ 07052-2994
Phone number: 973-669-0078
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Mailing Address
-- CHRISTINA GRANQUIST D.P.T.
622 EAGLE ROCK AVE
WEST ORANGE, NJ 07052-2994
Phone number: 973-669-0078
Copy
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