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1467900712
JENNIFER B. WATHNE
RANDOLPH, NJ
NPI
1467900712
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: NJ 40QB00310900)
Enumeration Date
2016-09-15
Last Update Date
2016-09-15
Business Address
JENNIFER B. WATHNE PTA
540 ROUTE 10 W
RANDOLPH, NJ 07869-2026
Phone number: 973-366-6615
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Mailing Address
JENNIFER B. WATHNE PTA
540 ROUTE 10 W
RANDOLPH, NJ 07869-2026
Phone number: 973-366-6615
Copy
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