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1194138792
MAGGIE WANIS
BLOOMFIELD, NJ
NPI
1194138792
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Additional Taxonomies
251S00000X
Enumeration Date
2014-06-11
Last Update Date
2018-10-24
Business Address
MAGGIE WANIS
75 GROVE ST APT 3
BLOOMFIELD, NJ 07003-5641
Phone number: 917-732-6942
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Mailing Address
MAGGIE WANIS
75 GROVE ST
BLOOMFIELD, NJ 07003-5641
Phone number: 917-960-3555
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