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1043423767
MARLYS PETERSON LEWIS
FLANDERS, NJ
NPI
1043423767
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
124Q00000X Dental Hygienist
(Licence: NJ 22HI00149500)
Enumeration Date
2007-05-08
Last Update Date
2007-07-08
Business Address
-- MARLYS PETERSON LEWIS RDH
22 PLAZA RD
FLANDERS, NJ 07836-9416
Phone number: 973-252-1099
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Mailing Address
-- MARLYS PETERSON LEWIS RDH
77 IRONIA RD
MENDHAM, NJ 07945-3141
Phone number: 973-543-6287
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