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1699401554
NAKISHA BENNETT
NEWARK, NJ
NPI
1699401554
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
335E00000X Prosthetic/Orthotic Supplier
Enumeration Date
2022-07-25
Last Update Date
2022-07-25
Business Address
NAKISHA BENNETT
88 3RD AVE
NEWARK, NJ 07104-2706
Phone number: 862-280-7884
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Mailing Address
NAKISHA BENNETT
88 3RD AVE
NEWARK, NJ 07104-2706
Phone number: 862-280-7884
Copy
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