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1649911090
ALEXANDRA TIMBERLAKE
PATERSON, NJ
NPI
1649911090
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2022-04-07
Last Update Date
2022-04-07
Business Address
ALEXANDRA TIMBERLAKE DO
703 MAIN ST
PATERSON, NJ 07503-2621
Phone number: 973-754-2726
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Mailing Address
ALEXANDRA TIMBERLAKE DO
8 ROYCE DR
CHURCHVILLE, NY 14428-8908
Phone number: 585-490-2309
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