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Individual
MR. SERG MARI SANCHEZ ENTISE
Active
Individual
MR. SERG MARI SANCHEZ ENTISE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
BSPT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
40QA00994400
NJ
Other
Enumeration date
05/22/2007
Last updated
04/23/2019
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