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1881386795
LAWRENCE VILLANUEVA
JERSEY CITY, NJ
NPI
1881386795
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2023-05-22
Last Update Date
2023-05-22
Business Address
Dr. LAWRENCE VILLANUEVA DO
176 PALISADE AVE
JERSEY CITY, NJ 07306-1196
Phone number: 201-795-8200
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Mailing Address
Dr. LAWRENCE VILLANUEVA DO
176 PALISADE AVE
JERSEY CITY, NJ 07306-1196
Phone number: 201-795-8200
Copy
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