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1043886179
GEORGE KOUTRAS
BAYONNE, NJ
NPI
1043886179
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2021-05-30
Last Update Date
2021-05-30
Business Address
GEORGE KOUTRAS
29 E 29TH ST
BAYONNE, NJ 07002-4654
Phone number: 201-858-6594
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Mailing Address
GEORGE KOUTRAS
29 E 29TH ST
BAYONNE, NJ 07002-4654
Phone number:
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