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1366548141
MARK A CANNING
VAUXHALL, NJ
NPI
1366548141
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LP0808X Nurse Practitioner Psychiatric/Mental Health
(Licence: NJ 26NN10236800)
Enumeration Date
2006-09-16
Last Update Date
2007-07-17
Business Address
MARK A CANNING MSN
3 FARRINGTON ST
VAUXHALL, NJ 07088-1307
Phone number: 973-971-7185
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Mailing Address
MARK A CANNING MSN
PO BOX 23831
NEWARK, NJ 07189-0001
Phone number: 973-971-7185
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