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1740786482
ERNEST JAYDEN NGENDA
ERIE, PA
NPI
1740786482
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: VA 23066049868)
Enumeration Date
2018-04-02
Last Update Date
2018-04-02
Business Address
ERNEST JAYDEN NGENDA
1150 W 27TH ST
ERIE, PA 16508-1524
Phone number: 814-384-7942
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Mailing Address
ERNEST JAYDEN NGENDA
1150 W 27TH ST
ERIE, PA 16508-1524
Phone number:
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