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1306223045
ANNA M AVANESYAN
FAIR LAWN, NJ
NPI
1306223045
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: NJ 25MP00336500)
Enumeration Date
2015-05-01
Last Update Date
2015-05-01
Business Address
Mrs. ANNA M AVANESYAN PA-C
17-15 MAPLE AVE STE 100
FAIR LAWN, NJ 07410-1552
Phone number: 201-794-8055
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Mailing Address
Mrs. ANNA M AVANESYAN PA-C
17-15 MAPLE AVE STE 100
FAIR LAWN, NJ 07410-1552
Phone number: 201-794-8055
Copy
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