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1417955279
DESPEE BOCKARIE KONNEH
HACKENSACK, NJ
NPI
1417955279
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: NJ 25MP00493300)
Enumeration Date
2005-07-14
Last Update Date
2018-11-02
Business Address
Mr. DESPEE BOCKARIE KONNEH PA-C
30 PROSPECT AVE
HACKENSACK, NJ 07601-1915
Phone number: 551-996-2000
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Mailing Address
Mr. DESPEE BOCKARIE KONNEH PA-C
30 PROSPECT AVE
HACKENSACK, NJ 07601-1915
Phone number: 551-996-2000
Copy
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