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1972558260
JOSE BACOLOD
SADDLE BROOK, NJ
NPI
1972558260
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: NJ 40QA01062200)
Enumeration Date
2006-05-24
Last Update Date
2013-06-18
Business Address
-- JOSE BACOLOD RPT
15 N STREET SUITE 106
SADDLE BROOK, NJ 07663-9999
Phone number: 201-250-8808
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Mailing Address
-- JOSE BACOLOD RPT
15 N 5TH ST STE 106
SADDLE BROOK, NJ 07663-6156
Phone number: 201-250-8808
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