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1881998417
BEVERLY GENE HOLMES
CEDAR GROVE, NJ
NPI
1881998417
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: NJ 4QB00048100)
Enumeration Date
2010-12-22
Last Update Date
2010-12-22
Business Address
MRS. BEVERLY GENE HOLMES
536 RIDGE RD
CEDAR GROVE, NJ 07009-1611
Phone number: 973-239-9300
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Mailing Address
MRS. BEVERLY GENE HOLMES
376 HAWTHORNE ST
ORANGE, NJ 07050-2831
Phone number: 973-677-3007
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