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1295589471
KEVIN INNELLA
BAYONNE, NJ
NPI
1295589471
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2024-04-15
Last Update Date
2024-04-15
Business Address
KEVIN INNELLA
29 E 29TH ST
BAYONNE, NJ 07002-4654
Phone number: 201-858-6596
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Mailing Address
KEVIN INNELLA
108 VILLAGE RD
GREEN VILLAGE, NJ 07935-3032
Phone number: 908-477-7783
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