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1861044927
LAWRENCE GERALD BASH
BRIDGETON, NJ
NPI
1861044927
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
171W00000X Contractor
Enumeration Date
2019-07-09
Last Update Date
2019-07-09
Business Address
LAWRENCE GERALD BASH
67 CEDARBROOK AVE
BRIDGETON, NJ 08302-1611
Phone number: 856-519-8116
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Mailing Address
LAWRENCE GERALD BASH
67 CEDARBROOK AVE
BRIDGETON, NJ 08302-1611
Phone number: 856-519-8116
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