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1174869754
SHIRA VERSCHLEISER
LAKEWOOD, NJ
NPI
1174869754
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: NJ 25MP00300100)
Enumeration Date
2012-12-30
Last Update Date
2012-12-30
Business Address
Mrs. SHIRA VERSCHLEISER PA-C
150 JAMES ST
LAKEWOOD, NJ 08701-4101
Phone number: 732-363-4003
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Mailing Address
Mrs. SHIRA VERSCHLEISER PA-C
150 JAMES ST
LAKEWOOD, NJ 08701-4101
Phone number: 732-363-4003
Copy
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