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Individual
MR. JOSE RULLAN GARDUQUE JR.
Active
Individual
MR. JOSE RULLAN GARDUQUE JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
009595
CT
225100000X
Physical Therapist
070019778
IL
Other
Enumeration date
12/18/2013
Last updated
12/18/2013
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