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1609064583
JIM DELA BARERRA
BLOOMFIELD, NJ
NPI
1609064583
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
156FX1800X Technician/Technologist, Optician
(Licence: NJ D3037)
Enumeration Date
2007-10-04
Last Update Date
2007-10-04
Business Address
Mr. JIM DELA BARERRA
1083 BROAD ST
BLOOMFIELD, NJ 07003-2918
Phone number: 973-338-1717
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Mailing Address
Mr. JIM DELA BARERRA
1083 BROAD ST
BLOOMFIELD, NJ 07003-2918
Phone number: 973-338-1717
Copy
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