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1063163889
TATIANA LASTOVKINA
SOMERVILLE, NJ
NPI
1063163889
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
183500000X Pharmacist
(Licence: NJ 28RI04213500)
Enumeration Date
2022-01-13
Last Update Date
2022-01-13
Business Address
TATIANA LASTOVKINA
40 W MAIN ST
SOMERVILLE, NJ 08876-2203
Phone number: 908-725-0585
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Mailing Address
TATIANA LASTOVKINA
215 ALEXANDER AVE
HOWELL, NJ 07731-8681
Phone number: 347-834-6643
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