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1457855157
JERALYN GATES
WAIPAHU, HI
NPI
1457855157
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: HI PTA-405)
Enumeration Date
2018-03-19
Last Update Date
2018-03-19
Business Address
JERALYN GATES
94-216 FARRINGTON HWY # A-102
WAIPAHU, HI 96797-1922
Phone number: 808-600-9148
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Mailing Address
JERALYN GATES
94-216 FARRINGTON HWY # A-102
WAIPAHU, HI 96797-1922
Phone number: 808-600-9148
Copy
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