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1841532181
TANYA GAPONOV
LOWELL, MA
NPI
1841532181
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: MA 20338)
Enumeration Date
2013-03-25
Last Update Date
2013-03-28
Business Address
-- TANYA GAPONOV PT
841 MERRIMACK ST
LOWELL, MA 01854-3500
Phone number: 978-459-0546
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Mailing Address
-- TANYA GAPONOV PT
841 MERRIMACK ST
LOWELL, MA 01854-3500
Phone number: 978-459-0546
Copy
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