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1205122520
VESTA KIM
EAST BRUNSWICK, NJ
NPI
1205122520
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
156FX1800X Technician/Technologist, Optician
(Licence: NJ 31TD00367900)
Enumeration Date
2011-06-24
Last Update Date
2011-07-07
Business Address
-- VESTA KIM optician
14-22 PROSPECT STREET
EAST BRUNSWICK, NJ 08816-5808
Phone number: 732-257-3755
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Mailing Address
-- VESTA KIM optician
14-22 PROSPECT STREET
EAST BRUNSWICK, NJ 08816-5808
Phone number: 732-257-3755
Copy
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