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1629169768
LUSINE TATEVOSYAN
PARAMUS, NJ
NPI
1629169768
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: NJ 25MP00165700)
Enumeration Date
2006-09-27
Last Update Date
2011-03-17
Business Address
Ms. LUSINE TATEVOSYAN PA
10 FOREST AVENUE
PARAMUS, NJ 07652
Phone number: 201-291-4040
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Mailing Address
Ms. LUSINE TATEVOSYAN PA
PO BOX 29008
NEWARK, NJ 07101
Phone number: 201-845-9300
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