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1306457262
CHRISTIAN R GONGOB
FORT LEE, NJ
NPI
1306457262
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
183500000X Pharmacist
(Licence: NJ 28RI04063500)
Enumeration Date
2020-08-13
Last Update Date
2020-08-13
Business Address
CHRISTIAN R GONGOB PharmD
2151 LEMOINE AVE
FORT LEE, NJ 07024-6041
Phone number: 201-947-6772
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Mailing Address
CHRISTIAN R GONGOB PharmD
2151 LEMOINE AVE
FORT LEE, NJ 07024-6041
Phone number: 201-947-6772
Copy
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