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1174039820
ATARA HAKAKIAN
LAKEWOOD, NJ
NPI
1174039820
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363A00000X Physician Assistant
(Licence: NJ 25MP00455600)
Enumeration Date
2017-12-18
Last Update Date
2017-12-18
Business Address
Ms. ATARA HAKAKIAN PA
151 WILLIAMSBURG LN
LAKEWOOD, NJ 08701-1476
Phone number: 347-733-2493
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Mailing Address
Ms. ATARA HAKAKIAN PA
151 WILLIAMSBURG LN
LAKEWOOD, NJ 08701-1476
Phone number: 347-733-2493
Copy
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