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1497252274
CARLOS LENIN PENA DIAZ
PATERSON, NJ
NPI
1497252274
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
246ZC0007X Specialist/Technologist, Other, Surgical Assistant
(Licence: NY 18-190)
Enumeration Date
2018-04-09
Last Update Date
2018-04-09
Business Address
CARLOS LENIN PENA DIAZ SA-C
69 3RD AVE
PATERSON, NJ 07524-1530
Phone number: 201-450-7799
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Mailing Address
CARLOS LENIN PENA DIAZ SA-C
69 3RD AVE
PATERSON, NJ 07524-1530
Phone number: 201-450-7799
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