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1598025777
DIANE KYUNG KWAK
BERKELEY HEIGHTS, NJ
NPI
1598025777
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: NJ 40QA01261700)
Enumeration Date
2012-05-22
Last Update Date
2014-07-25
Business Address
DIANE KYUNG KWAK PT
1 DIAMOND HILL RD
BERKELEY HEIGHTS, NJ 07922-2104
Phone number: 908-277-8936
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Mailing Address
DIANE KYUNG KWAK PT
1 DIAMOND HILL RD
BERKELEY HEIGHTS, NJ 07922-2104
Phone number: 908-277-8936
Copy
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