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1922290535
YEV FEDOSENKO
CLIFFSIDE PARK, NJ
NPI
1922290535
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: NJ 40QA01242600)
Enumeration Date
2007-08-16
Last Update Date
2007-08-16
Business Address
-- YEV FEDOSENKO D.P.T
300 WINSTON DR #2407
CLIFFSIDE PARK, NJ 07010-3236
Phone number: 617-620-2137
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Mailing Address
-- YEV FEDOSENKO D.P.T
300 WINSTON DR #2407
CLIFFSIDE PARK, NJ 07010-3236
Phone number: 617-620-2137
Copy
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