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1013419704
LOTUS SPRING LLC
HACKENSACK, NJ
NPI
1013419704
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Entity Type
Organization
Authorized Contact
MARYANN HOM
Clinical Social Worker
201-525-1625
Organization Subpart ?
No
Primary Taxonomy
251S00000X
(Licence: NJ 44SC)
Enumeration Date
2018-03-08
Last Update Date
2018-03-08
Business Address
LOTUS SPRING LLC
307 PROSPECT AVE APT 14E
HACKENSACK, NJ 07601-2555
Phone number: 201-525-1625
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Mailing Address
LOTUS SPRING LLC
307 PROSPECT AVE APT 14E
HACKENSACK, NJ 07601-2555
Phone number: 201-525-1625
Copy
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