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1477388056
RAKESHA DATARAM
PATERSON, NJ
NPI
1477388056
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: NJ 40QB00415400)
Enumeration Date
2024-09-04
Last Update Date
2024-09-04
Business Address
RAKESHA DATARAM
922 MAIN ST
PATERSON, NJ 07503-2602
Phone number: 201-398-6721
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Mailing Address
RAKESHA DATARAM
65 ROOSEVELT AVE
RIDGEFIELD PARK, NJ 07660-1238
Phone number: 201-398-6721
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