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1841987252
BRACHA NIKNAM
LAKEWOOD, NJ
NPI
1841987252
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: NJ 25MP00774200)
Enumeration Date
2023-04-18
Last Update Date
2023-04-18
Business Address
BRACHA NIKNAM PA-C
16 ESTI CIR
LAKEWOOD, NJ 08701-4053
Phone number: 732-781-6805
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Mailing Address
BRACHA NIKNAM PA-C
16 ESTI CIR
LAKEWOOD, NJ 08701-4053
Phone number: 732-781-6805
Copy
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