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1306244272
MIRIL CARMEN
LAKEWOOD, NJ
NPI
1306244272
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: NJ 41YS00619400)
Enumeration Date
2014-12-09
Last Update Date
2014-12-09
Business Address
-- MIRIL CARMEN
3 COLES WAY
LAKEWOOD, NJ 08701-4875
Phone number: 732-874-4374
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Mailing Address
-- MIRIL CARMEN
108 COLES WAY
LAKEWOOD, NJ 08701-4885
Phone number: 646-641-9063
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