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1720119712
VANESSA MEDINA
WAYNE, NJ
NPI
1720119712
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: NJ 40qa01190900)
Enumeration Date
2007-03-08
Last Update Date
2007-07-08
Business Address
-- VANESSA MEDINA PT
701 HAMBURG TPKE
WAYNE, NJ 07470-2098
Phone number: 973-636-6550
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Mailing Address
-- VANESSA MEDINA PT
26 HURON AVE
CLIFTON, NJ 07013-2909
Phone number:
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