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1154086643
BORIS G KOUANANG
LIVINGSTON, NJ
NPI
1154086643
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
367500000X Nurse Anesthetist, Certified Registered
(Licence: NJ 26NJ01224000)
Enumeration Date
2021-11-01
Last Update Date
2021-11-01
Business Address
BORIS G KOUANANG CRNA
94 OLD SHORT HILLS RD STE 1
LIVINGSTON, NJ 07039-5668
Phone number: 973-322-5000
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Mailing Address
BORIS G KOUANANG CRNA
200 BOYDEN AVE APT 374
MAPLEWOOD, NJ 07040-2685
Phone number: 609-218-7884
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