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1184759482
NICANORA TRIVINO
EAST ORANGE, NJ
NPI
1184759482
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
261Q00000X Clinic/Center
(Licence: NJ 25mao4586300)
Enumeration Date
2007-02-23
Last Update Date
2007-07-08
Business Address
Mrs. NICANORA TRIVINO m.d.
172 HALSTED ST
EAST ORANGE, NJ 07018-2663
Phone number: 973-678-3133
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Mailing Address
Mrs. NICANORA TRIVINO m.d.
172 HALSTED ST
EAST ORANGE, NJ 07018-2663
Phone number: 973-678-3133
Copy
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