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1356553135
SOPHIA PANTINOPLE IGOT
RIDGEWOOD, NJ
NPI
1356553135
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: NJ 40QA01052000)
Enumeration Date
2007-05-04
Last Update Date
2007-07-08
Business Address
-- SOPHIA PANTINOPLE IGOT
304 SOUTH VAN DIEN AVE.
RIDGEWOOD, NJ 07450
Phone number: 201-445-8200
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Mailing Address
-- SOPHIA PANTINOPLE IGOT
39-37 WENONAH DRIVE
FAIR LAWN, NJ 07410
Phone number:
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