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1689192171
ALFEA MARIE MORENO BONGCO
WILMINGTON, DE
NPI
1689192171
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: DE J2-0001068)
Enumeration Date
2017-09-05
Last Update Date
2017-09-05
Business Address
ALFEA MARIE MORENO BONGCO PTA
810 S BROOM ST
WILMINGTON, DE 19805-4245
Phone number: 302-652-1181
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Mailing Address
ALFEA MARIE MORENO BONGCO PTA
104 BUCKSON CT
BEAR, DE 19701-3056
Phone number: 310-866-7276
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