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Individual

CARLOS JARAMILLO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
1025 W SAINT GEORGES AVE, LINDEN, NJ 07036-6134
(908) 463-6451
Mailing address
1025 W SAINT GEORGES AVE, LINDEN, NJ 07036-6134
(908) 463-6451

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
2110741
TX
225200000X
Physical Therapy Assistant
Primary
40QB00291200
NJ

Other

Enumeration date
09/29/2015
Last updated
11/14/2016
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