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1538101811
LAURIE TARE
HACKENSACK, NJ
NPI
1538101811
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: NJ 25MP00143000)
Enumeration Date
2006-06-12
Last Update Date
2007-07-08
Business Address
-- LAURIE TARE PA
20 PROSPECT AVE SUITE 912
HACKENSACK, NJ 07601-1997
Phone number: 201-996-3144
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Mailing Address
-- LAURIE TARE PA
20 PROSPECT AVE SUITE 912
HACKENSACK, NJ 07601-1997
Phone number:
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