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1710281688
DIVERSE MEDICAL LLC
MAPLEWOOD, NJ
NPI
1710281688
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Entity Type
Organization
Authorized Contact
MARILU COSCOLLUELA
Owner
973-325-5768
Organization Subpart ?
No
Primary Taxonomy
335E00000X Prosthetic/Orthotic Supplier
Enumeration Date
2011-01-06
Last Update Date
2017-01-24
Business Address
DIVERSE MEDICAL LLC
515 VALLEY ST SUITE 5
MAPLEWOOD, NJ 07040-1388
Phone number: 973-327-2471
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Mailing Address
DIVERSE MEDICAL LLC
515 VALLEY ST SUITE 5
MAPLEWOOD, NJ 07040-1388
Phone number: 973-327-2471
Copy
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