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1811206451
MARVIN BASILIO AZARES
HACKENSACK, NJ
NPI
1811206451
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LA2100X Nurse Practitioner, Acute Care
(Licence: NJ 26NJ00294900)
Enumeration Date
2010-09-30
Last Update Date
2010-09-30
Business Address
Mr. MARVIN BASILIO AZARES APN
30 PROSPECT AVE
HACKENSACK, NJ 07601-1914
Phone number: 201-996-2816
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Mailing Address
Mr. MARVIN BASILIO AZARES APN
142 ETHEL AVE
HAWTHORNE, NJ 07506-1527
Phone number: 321-276-4310
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