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1427745298
NICHOLETTE IVEZAJ
BAYONNE, NJ
NPI
1427745298
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2023-04-20
Last Update Date
2023-04-20
Business Address
NICHOLETTE IVEZAJ DO
29 E 29TH ST
BAYONNE, NJ 07002-4654
Phone number: 201-858-6596
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Mailing Address
NICHOLETTE IVEZAJ DO
29 E 29TH ST
BAYONNE, NJ 07002-4654
Phone number: 201-858-6596
Copy
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