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1780142620
WILMA EDANG JAVELOSA
GAITHERSBURG, MD
NPI
1780142620
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: MD 21058)
Enumeration Date
2019-03-11
Last Update Date
2019-03-11
Business Address
WILMA EDANG JAVELOSA
301 RUSSELL AVE
GAITHERSBURG, MD 20877-2807
Phone number: 301-216-4247
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Mailing Address
WILMA EDANG JAVELOSA
19331 CHURUBUSCO LN
GERMANTOWN, MD 20874-1572
Phone number: 301-916-8488
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