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1114159506
VASHTI ETWARU
SPRINGFIELD, NJ
NPI
1114159506
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant Medical
(Licence: NY 013232)
Enumeration Date
2009-08-18
Last Update Date
2023-07-10
Business Address
MRS. VASHTI ETWARU
649 MORRIS AVE
SPRINGFIELD, NJ 07081-1526
Phone number: 973-795-7955
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Mailing Address
MRS. VASHTI ETWARU
22 CROWN VIEW CT
SPARTA, NJ 07871-3569
Phone number: 516-343-5339
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