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1740622927
IRINA BENENSON
EAST BRUNSWICK, NJ
NPI
1740622927
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: NJ 26NJ00453100)
Enumeration Date
2013-07-29
Last Update Date
2013-07-29
Business Address
Mrs. IRINA BENENSON
5 STARR RD
EAST BRUNSWICK, NJ 08816-4052
Phone number: 732-890-7164
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Mailing Address
Mrs. IRINA BENENSON
5 STARR RD
EAST BRUNSWICK, NJ 08816-4052
Phone number: 732-890-7164
Copy
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