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1104157668
VIVIAN UMINA
BRICK, NJ
NPI
1104157668
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
171W00000X Contractor
(Licence: NJ 46TR00385200)
Enumeration Date
2010-01-23
Last Update Date
2010-01-23
Business Address
-- VIVIAN UMINA OT
17 CABANA DR
BRICK, NJ 08723-7630
Phone number: 732-575-3767
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Mailing Address
-- VIVIAN UMINA OT
17 CABANA DR
BRICK, NJ 08723-7630
Phone number: 732-575-3767
Copy
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