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1528836038
SHANTAL TAGALOG TUBALADO
ELIZABETH, NJ
NPI
1528836038
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
261QP2000X Clinic/Center, Physical Therapy
(Licence: NY 050083)
Enumeration Date
2023-12-13
Last Update Date
2023-12-13
Business Address
SHANTAL TAGALOG TUBALADO
9 HARBOR FRONT CT
ELIZABETH, NJ 07206-1951
Phone number: 848-236-6636
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Mailing Address
SHANTAL TAGALOG TUBALADO
9 HARBOR FRONT CT
ELIZABETH, NJ 07206-1951
Phone number: 848-236-6636
Copy
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