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1689148082
JEANINE LEE BOSSART
WAYNE, NJ
NPI
1689148082
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363A00000X Physician Assistant
(Licence: NJ 25MP00480400)
Enumeration Date
2019-01-18
Last Update Date
2022-08-11
Business Address
JEANINE LEE BOSSART
330 RATZER RD STE B7
WAYNE, NJ 07470-7704
Phone number: 973-317-0155
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Mailing Address
JEANINE LEE BOSSART
PO BOX 416457
BOSTON, MA 02241-6457
Phone number: 844-362-1735
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