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1962276949
JEFFREY WISE
ROCKVILLE, MD
NPI
1962276949
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: MD A5591)
Enumeration Date
2023-11-10
Last Update Date
2023-11-10
Business Address
JEFFREY WISE
2401 RESEARCH BLVD STE 109
ROCKVILLE, MD 20850-3215
Phone number: 301-337-6921
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Mailing Address
JEFFREY WISE
9042 WALTHAM WOODS RD APT C
PARKVILLE, MD 21234-2567
Phone number: 443-752-6874
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