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1548659972
ROBBIE BACON
MALAGA, NJ
NPI
1548659972
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: NJ 40qboo283300)
Enumeration Date
2015-01-22
Last Update Date
2015-01-22
Business Address
-- ROBBIE BACON PTA,CLT
10 DEFIANCE RD
MALAGA, NJ 08328-4324
Phone number: 856-793-8662
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Mailing Address
-- ROBBIE BACON PTA,CLT
10 DEFIANCE RD
MALAGA, NJ 08328-4324
Phone number: 856-793-8662
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