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1861649006
ANTHONY PETER IZURIETA
HAMILTON, NJ
NPI
1861649006
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: NJ 40qb00220700)
Enumeration Date
2008-08-19
Last Update Date
2008-08-19
Business Address
Mr. ANTHONY PETER IZURIETA PTA
2300 HAMILTON AVE
HAMILTON, NJ 08619-3007
Phone number: 609-588-5823
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Mailing Address
Mr. ANTHONY PETER IZURIETA PTA
17 GRACE ST 2ND FLOOR
BLOOMFIELD, NJ 07003-4719
Phone number: 973-634-0633
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