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1376916064
MANDALIN MARIE WENDEROTH
FREDERICKSBURG, VA
NPI
1376916064
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: VA 2306603677)
Enumeration Date
2015-11-04
Last Update Date
2015-11-04
Business Address
MRS. MANDALIN MARIE WENDEROTH PTA
3310 FALL HILL AVE
FREDERICKSBURG, VA 22401-3000
Phone number: 540-373-7133
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Mailing Address
MRS. MANDALIN MARIE WENDEROTH PTA
3310 FALL HILL AVE
FREDERICKSBURG, VA 22401-3000
Phone number: 540-373-7133
Copy
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