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1417241639
DEIDRA G PARKS
HACKENSACK, NJ
NPI
1417241639
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
251K00000X Public Health or Welfare
Enumeration Date
2011-06-06
Last Update Date
2011-06-06
Business Address
-- DEIDRA G PARKS cpnp
125 ESSEX ST
HACKENSACK, NJ 07601-4027
Phone number: 201-646-2756
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Mailing Address
-- DEIDRA G PARKS cpnp
105 WHITE POND RD
WALDWICK, NJ 07463-1349
Phone number: 201-447-0548
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