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1598090169
JASON DE LA BRUYERE
PARAMUS, NJ
NPI
1598090169
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: NJ 40QA01325400)
Enumeration Date
2009-10-14
Last Update Date
2014-06-23
Business Address
Dr. JASON DE LA BRUYERE DPT
28 FARVIEW TER
PARAMUS, NJ 07652-2740
Phone number: 201-880-9810
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Mailing Address
Dr. JASON DE LA BRUYERE DPT
28 FARVIEW TER
PARAMUS, NJ 07652-2740
Phone number: 201-880-9810
Copy
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