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1457647307
MICHAEL JAMES WYLYKANOWITZ
WARREN, NJ
NPI
1457647307
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: NJ 40QA01398100)
Enumeration Date
2011-06-20
Last Update Date
2016-01-26
Business Address
-- MICHAEL JAMES WYLYKANOWITZ DPT
34 MOUNTAIN BLVD BUILDING C
WARREN, NJ 07059-2640
Phone number: 908-222-0515
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Mailing Address
-- MICHAEL JAMES WYLYKANOWITZ DPT
622 EAGLE ROCK AVE
WEST ORANGE, NJ 07052-2994
Phone number: 973-669-0078
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