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1841439155
MA CRISTINA NATIVIDAD BOONGALING
ELLICOTT CITY, MD
NPI
1841439155
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: IL 070015937)
Enumeration Date
2009-02-10
Last Update Date
2009-02-10
Business Address
-- MA CRISTINA NATIVIDAD BOONGALING PT
3290 N RIDGE RD EXECUTIVE CENTER 2, SUITE 290
ELLICOTT CITY, MD 21043-3655
Phone number: 410-588-5819
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Mailing Address
-- MA CRISTINA NATIVIDAD BOONGALING PT
3290 N RIDGE RD EXECUTIVE CENTER 2, SUITE 290
ELLICOTT CITY, MD 21043-3655
Phone number: 410-588-5819
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