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1558520577
CARRIE R. MALLEN
HACKENSACK, NJ
NPI
1558520577
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: NJ 25mp00174800)
Enumeration Date
2008-06-05
Last Update Date
2009-10-15
Business Address
Miss CARRIE R. MALLEN
370 SUMMIT AVE
HACKENSACK, NJ 07601-1413
Phone number: 201-525-1777
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Mailing Address
Miss CARRIE R. MALLEN
370 SUMMIT AVE
HACKENSACK, NJ 07601-1413
Phone number: 201-525-1777
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