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1912981853
BENJAMIN MARVIN EVANS
NEWARK, NJ
NPI
1912981853
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
163WP0809X Registered Nurse, Psych/Mental Health, Adult
(Licence: NJ 26NC07677700)
Enumeration Date
2005-12-05
Last Update Date
2007-07-08
Business Address
-- BENJAMIN MARVIN EVANS RN APN-C
155 JEFFERSON ST MENTAL HEALTH-4W
NEWARK, NJ 07105-1706
Phone number: 973-465-2605
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Mailing Address
-- BENJAMIN MARVIN EVANS RN APN-C
224 EGE AVE
JERSEY CITY, NJ 07304-1413
Phone number: 201-333-1094
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