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1720503444
MARK BRADFORD HOLMES
HACKENSACK, NJ
NPI
1720503444
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: NJ 40QA01738800)
Enumeration Date
2017-08-03
Last Update Date
2018-03-17
Business Address
MARK BRADFORD HOLMES DPT
605 MAIN ST
HACKENSACK, NJ 07601-5914
Phone number: 201-488-0488
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Mailing Address
MARK BRADFORD HOLMES DPT
64 LINDEN AVE
VERONA, NJ 07044-2539
Phone number: 973-207-8776
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