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1558762088
BRADLEY JUDE BACANAYA
CLIFTON, NJ
NPI
1558762088
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: NJ 40QA01194900)
Enumeration Date
2014-09-16
Last Update Date
2016-07-17
Business Address
Mr. BRADLEY JUDE BACANAYA PT
1070 CLIFTON AVE SUITE A1
CLIFTON, NJ 07013-3619
Phone number: 973-246-6565
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Mailing Address
Mr. BRADLEY JUDE BACANAYA PT
209 COMLY RD APT K31
LINCOLN PARK, NJ 07035-1166
Phone number: 973-707-8249
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