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1508696162
ALEXIS LONG
FAIR LAWN, NJ
NPI
1508696162
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: NJ 40QA02271200)
Enumeration Date
2024-08-07
Last Update Date
2024-08-27
Business Address
ALEXIS LONG
2-22 BANTA PL
FAIR LAWN, NJ 07410-3058
Phone number: 201-509-8600
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Mailing Address
ALEXIS LONG
2-22 BANTA PL
FAIR LAWN, NJ 07410-3058
Phone number: 862-221-8250
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