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1609422393
DARRELL PETER SHOULARS
NEWARK, NJ
NPI
1609422393
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
261QD1600X Clinic/Center, Developmental Disabilities
(Licence: NJ 778909)
Enumeration Date
2019-08-17
Last Update Date
2019-08-17
Business Address
DARRELL PETER SHOULARS M.A., M.A.
10 N END TER
NEWARK, NJ 07104-4404
Phone number: 862-704-3524
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Mailing Address
DARRELL PETER SHOULARS M.A., M.A.
10 N END TER
NEWARK, NJ 07104-4404
Phone number: 862-704-3524
Copy
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