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1447795323
EBENEZER A AWOLESI
STATEN ISLAND, NY
NPI
1447795323
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: NY 025399)
Enumeration Date
2016-12-30
Last Update Date
2016-12-30
Business Address
-- EBENEZER A AWOLESI
355 BARD AVE
STATEN ISLAND, NY 10310-1664
Phone number: 718-818-3163
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Mailing Address
-- EBENEZER A AWOLESI
48 RESERVOIR RD
HACKETTSTOWN, NJ 07840-5647
Phone number:
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