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1235879594
KEVAUGHN HENRY
NORTH BERGEN, NJ
NPI
1235879594
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2022-04-01
Last Update Date
2022-04-01
Business Address
Dr. KEVAUGHN HENRY MD
7600 RIVER RD
NORTH BERGEN, NJ 07047-6217
Phone number: 201-854-5000
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Mailing Address
Dr. KEVAUGHN HENRY MD
824 CARLTON AVE
PLAINFIELD, NJ 07060-2645
Phone number: 973-609-6008
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