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1679070056
EDIT PUNK
RANDOLPH, NJ
NPI
1679070056
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: NJ 40QB00343600)
Enumeration Date
2018-04-11
Last Update Date
2018-04-11
Business Address
EDIT PUNK PTA
540 ROUTE 10 W
RANDOLPH, NJ 07869-2026
Phone number: 973-366-6615
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Mailing Address
EDIT PUNK PTA
540 ROUTE 10 W
RANDOLPH, NJ 07869-2026
Phone number: 973-366-6615
Copy
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