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1518250638
LISA MARIE VEENEMA
RIDGEWOOD, NJ
NPI
1518250638
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Former Name
LISA MARIE BREUR
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: NJ 25MP00248600)
Enumeration Date
2011-05-23
Last Update Date
2014-04-15
Business Address
LISA MARIE VEENEMA P.A.
1144 E RIDGEWOOD AVE
RIDGEWOOD, NJ 07450-3915
Phone number: 201-444-0020
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Mailing Address
LISA MARIE VEENEMA P.A.
1144 E RIDGEWOOD AVE
RIDGEWOOD, NJ 07450-3915
Phone number: 201-444-0020
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