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1851863047
AMANDA MANGULABNAN
FREEHOLD, NJ
NPI
1851863047
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Former Name
AMANDA CASH
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: NJ 40QB00298400)
Enumeration Date
2018-12-28
Last Update Date
2018-12-28
Business Address
AMANDA MANGULABNAN PTA
901 W MAIN ST
FREEHOLD, NJ 07728-2537
Phone number: 732-294-2700
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Mailing Address
AMANDA MANGULABNAN PTA
889 GREGORY DR
BRICK, NJ 08723-6207
Phone number: 848-459-6094
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