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1730788795
MARIO PARKER
MONTCLAIR, NJ
NPI
1730788795
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
253Z00000X In Home Supportive Care
(Licence: NJ HP0140500)
Enumeration Date
2020-10-21
Last Update Date
2020-10-21
Business Address
MARIO PARKER
571 PARK ST
MONTCLAIR, NJ 07043-2027
Phone number: 973-495-4322
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Mailing Address
MARIO PARKER
571 PARK ST
MONTCLAIR, NJ 07043-2027
Phone number: 973-783-4663
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