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1497344030
MARK LUIS LIM HERNANDEZ
HACKENSACK, NJ
NPI
1497344030
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
Enumeration Date
2021-01-17
Last Update Date
2021-01-17
Business Address
MARK LUIS LIM HERNANDEZ
414 HACKENSACK AVE APT 2418
HACKENSACK, NJ 07601-6339
Phone number: 641-525-0706
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Mailing Address
MARK LUIS LIM HERNANDEZ
414 HACKENSACK AVE APT 2418
HACKENSACK, NJ 07601-6339
Phone number: 641-525-0706
Copy
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