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1881659043
LICINIA VEGUILLA
TOMS RIVER, NJ
NPI
1881659043
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207R00000X Internal Medicine
(Licence: NJ 25MA05628100)
Enumeration Date
2006-04-19
Last Update Date
2023-03-07
Business Address
-- LICINIA VEGUILLA MD
147 RT 37 WEST
TOMS RIVER, NJ 08755
Phone number: 732-341-8885
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Mailing Address
-- LICINIA VEGUILLA MD
147 RT 37 WEST
TOMS RIVER, NJ 08755
Phone number: 752-341-8885
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