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1720138191
EDILBERTO O ESTOMO
BERGENFIELD, NJ
NPI
1720138191
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: NJ 40QA00520400)
Enumeration Date
2007-01-10
Last Update Date
2008-02-22
Business Address
-- EDILBERTO O ESTOMO
54 E MAIN ST
BERGENFIELD, NJ 07621
Phone number: 201-874-9084
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Mailing Address
-- EDILBERTO O ESTOMO
PO BOX 29
EDGEWATER, NJ 07020
Phone number: 973-361-6054
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