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1346645850
MARY KOURAKIN
MILLVILLE, NJ
NPI
1346645850
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
124Q00000X Dental Hygienist
(Licence: NJ 22HI00343600)
Enumeration Date
2014-10-27
Last Update Date
2014-10-27
Business Address
-- MARY KOURAKIN RDH
16 W VINE ST
MILLVILLE, NJ 08332-3823
Phone number: 856-825-0618
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Mailing Address
-- MARY KOURAKIN RDH
404 HIGHLAND DR
MAYS LANDING, NJ 08330-1649
Phone number: 609-442-3075
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