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1619942695
EBENEZER OGUNTUASE
VINELAND, NJ
NPI
1619942695
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: NJ 40QA00598500)
Enumeration Date
2006-02-22
Last Update Date
2011-05-11
Business Address
Mr. EBENEZER OGUNTUASE RPT
611 E LANDIS AVE
VINELAND, NJ 08360-8004
Phone number: 856-794-2100
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Mailing Address
Mr. EBENEZER OGUNTUASE RPT
611 E LANDIS AVE
VINELAND, NJ 08360-8004
Phone number: 856-794-2100
Copy
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