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1063988798
KIT WON LAI
HACKENSACK, NJ
NPI
1063988798
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: NJ 25MP00556400)
Enumeration Date
2018-10-20
Last Update Date
2020-05-19
Business Address
KIT WON LAI
30 PROSPECT AVE
HACKENSACK, NJ 07601-1915
Phone number: 551-996-2000
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Mailing Address
KIT WON LAI
60 PROSPECT AVE APT 205
HACKENSACK, NJ 07601-1932
Phone number: 480-628-7624
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