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1104297985
SHOSHANA KOMENDANT
LAKEWOOD, NJ
NPI
1104297985
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363A00000X Physician Assistant
(Licence: NJ 25MP00377500)
Enumeration Date
2015-10-19
Last Update Date
2015-10-19
Business Address
-- SHOSHANA KOMENDANT
1352 RIVER AVE
LAKEWOOD, NJ 08701-5646
Phone number: 732-370-5100
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Mailing Address
-- SHOSHANA KOMENDANT
1352 RIVER AVE
LAKEWOOD, NJ 08701-5646
Phone number:
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