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1689813362
KELLY ANNE LEASE
UNION, NJ
NPI
1689813362
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: NJ 40QA00933400)
Enumeration Date
2009-02-19
Last Update Date
2009-02-19
Business Address
-- KELLY ANNE LEASE PT
700 RAHWAY AVE
UNION, NJ 07083-6634
Phone number: 908-688-1991
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Mailing Address
-- KELLY ANNE LEASE PT
4175 VETERANS MEMORIAL HWY SUITE 202
RONKONKOMA, NY 11779-7639
Phone number: 631-580-5200
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