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1013352558
LUCKNIE OVINCY
BELLEVILLE, NJ
NPI
1013352558
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant Medical
(Licence: NJ 25MP00297800)
Enumeration Date
2013-05-09
Last Update Date
2013-05-09
Business Address
MISS LUCKNIE OVINCY PA-C
50 NEWARK AVE
BELLEVILLE, NJ 07109-1185
Phone number: 973-751-2060
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Mailing Address
MISS LUCKNIE OVINCY PA-C
245 S BURNETT ST
EAST ORANGE, NJ 07018-2502
Phone number: 862-452-7882
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