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1376010926
YVONNE GLORIA BANKOLE
WEST ORANGE, NJ
NPI
1376010926
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: NJ 40QB00038800)
Enumeration Date
2018-10-31
Last Update Date
2018-10-31
Business Address
YVONNE GLORIA BANKOLE PTA
1155 PLEASANT VALLEY WAY
WEST ORANGE, NJ 07052-1424
Phone number: 973-400-3812
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Mailing Address
YVONNE GLORIA BANKOLE PTA
6 ELSMAN TER
MAPLEWOOD, NJ 07040-1620
Phone number: 201-259-1329
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