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1508007493
GERALD JACOB LANE
NEWARK, NJ
NPI
1508007493
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
111N00000X Chiropractor
(Licence: NJ 38MC00671700)
Enumeration Date
2009-03-23
Last Update Date
2013-02-04
Business Address
Dr. GERALD JACOB LANE DC
290 FERRY ST A1
NEWARK, NJ 07105-3475
Phone number: 973-344-5656
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Mailing Address
Dr. GERALD JACOB LANE DC
290 FERRY ST A1
NEWARK, NJ 07105-3475
Phone number: 973-344-5656
Copy
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