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1629222898
JUAN OVALLES
MONTCLAIR, NJ
NPI
1629222898
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: NY 023351-1)
Enumeration Date
2008-11-13
Last Update Date
2008-11-13
Business Address
-- JUAN OVALLES MSPT
69 ALEXANDER AVE
MONTCLAIR, NJ 07043-2629
Phone number: 917-292-7409
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Mailing Address
-- JUAN OVALLES MSPT
69 ALEXANDER AVE
MONTCLAIR, NJ 07043-2629
Phone number: 917-292-7409
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