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1336475060
EDSEL MENDOZA
PHILADELPHIA, PA
NPI
1336475060
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: PA PT020179)
Enumeration Date
2009-10-31
Last Update Date
2009-10-31
Business Address
Mr. EDSEL MENDOZA RPT
8500 LINDBERGH BLVD APT 1610
PHILADELPHIA, PA 19153-1536
Phone number: 267-407-7476
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Mailing Address
Mr. EDSEL MENDOZA RPT
8500 LINDBERGH BLVD APT 1610
PHILADELPHIA, PA 19153-1536
Phone number:
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