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1457695322
MATTHEW EDWARD WATERS
MILLSBORO, DE
NPI
1457695322
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: DE J1-0002910)
Enumeration Date
2012-11-16
Last Update Date
2012-12-27
Business Address
-- MATTHEW EDWARD WATERS DPT
28535 DUPONT BLVD UNIT 1
MILLSBORO, DE 19966-4799
Phone number: 302-297-0700
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Mailing Address
-- MATTHEW EDWARD WATERS DPT
790 REMINGTON BLVD
BOLINGBROOK, IL 60440-4909
Phone number:
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