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1396245171
NEIL EDWARD MEDINA ABELLA
ST JOHNSBURY, VT
NPI
1396245171
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: VT 041.0129870)
Enumeration Date
2018-02-18
Last Update Date
2018-02-18
Business Address
MR. NEIL EDWARD MEDINA ABELLA
117 UNDERCLYFFE RD
ST JOHNSBURY, VT 05819-1035
Phone number: 802-745-7132
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Mailing Address
MR. NEIL EDWARD MEDINA ABELLA
117 UNDERCLYFFE RD
ST JOHNSBURY, VT 05819-1035
Phone number: 802-745-7132
Copy
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