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Individual

ADEOLU AJALA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
65 MANOR DR APT 6A, NEWARK, NJ 07106-3270
(862) 237-7143
Mailing address
65 MANOR DR APT 6A, NEWARK, NJ 07106-3270
(862) 237-7143

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
033611
NY

Other

Enumeration date
09/28/2011
Last updated
09/28/2011
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