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Individual

MRS. AZRIELLE SANDI BAGUILAT GUINATANG

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
1140 ROUTE 72 W, MANAHAWKIN, NJ 08050-2412
(609) 294-4006
Mailing address
218 FALLER DR, APT B, NEW MILFORD, NJ 07646-6160
(646) 464-1094

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
40QA01493400
NJ

Other

Enumeration date
05/24/2013
Last updated
05/29/2013
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