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1821742115
ZACONJA BETHEA
NEWARK, NJ
NPI
1821742115
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2022-02-07
Last Update Date
2022-02-07
Business Address
Mr. ZACONJA BETHEA
183 S ORANGE AVE
NEWARK, NJ 07103-2757
Phone number: 973-972-8277
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Mailing Address
Mr. ZACONJA BETHEA
183 S ORANGE AVE
NEWARK, NJ 07103-2757
Phone number: 972-972-8277
Copy
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