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1467605196
DEXTER PAMATIGAN VIDENA
ELLICOTT CITY, MD
NPI
1467605196
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: MD 22673)
Enumeration Date
2008-10-26
Last Update Date
2008-10-26
Business Address
-- DEXTER PAMATIGAN VIDENA P.T.
3290 N RIDGE RD SUITE 290
ELLICOTT CITY, MD 21043-3655
Phone number: 410-750-9006
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Mailing Address
-- DEXTER PAMATIGAN VIDENA P.T.
3264 KAISER DR
ELLICOTT CITY, MD 21043-4555
Phone number: 410-608-2912
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