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1689721862
BOEMBOY M VENDIOLA
WAYNE, NJ
NPI
1689721862
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: NJ 40QA01189500)
Enumeration Date
2007-01-03
Last Update Date
2007-07-08
Business Address
Mr. BOEMBOY M VENDIOLA
401 HAMBURG TPKE STE 102
WAYNE, NJ 07470-2139
Phone number: 201-794-2121
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Mailing Address
Mr. BOEMBOY M VENDIOLA
432 CAMBRIDGE DR
BUTLER, NJ 07405-3242
Phone number: 973-462-8548
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