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1043494107
MIRNA BURY
JERSEY CITY, NJ
NPI
1043494107
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363A00000X Physician Assistant
(Licence: NJ 25mp00088600)
Enumeration Date
2007-12-26
Last Update Date
2007-12-26
Business Address
-- MIRNA BURY pac
193 PALISADE AVE
JERSEY CITY, NJ 07306-1112
Phone number: 201-656-1042
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Mailing Address
-- MIRNA BURY pac
193 PALISADE AVE
JERSEY CITY, NJ 07306-1112
Phone number: 201-656-1042
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