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1548686991
GINA DAZOS
MAPLEWOOD, NJ
NPI
1548686991
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: NJ 40QB00100800)
Enumeration Date
2014-03-10
Last Update Date
2014-03-10
Business Address
MS. GINA DAZOS
333 ELMWOOD AVENUE
MAPLEWOOD, NJ 07040
Phone number: 973-313-2104
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Mailing Address
MS. GINA DAZOS
92 MILDRED TERRACE
CLARK, NJ 07066
Phone number: 732-882-6269
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