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1972928968
LAUREN TRACEY WIRTH
JACKSON, NJ
NPI
1972928968
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: NJ 40QB00210900)
Enumeration Date
2014-02-27
Last Update Date
2014-02-27
Business Address
MS. LAUREN TRACEY WIRTH PTA
288 WHITESVILLE RD
JACKSON, NJ 08527-5139
Phone number: 732-912-6690
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Mailing Address
MS. LAUREN TRACEY WIRTH PTA
288 WHITESVILLE RD
JACKSON, NJ 08527-5139
Phone number: 732-912-6690
Copy
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