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1962879262
MARYANN SOUS
ENGLEWOOD, NJ
NPI
1962879262
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: PA MA060141)
Enumeration Date
2015-08-21
Last Update Date
2024-02-12
Business Address
MARYANN SOUS PA-C
350 ENGLE ST
ENGLEWOOD, NJ 07631-1808
Phone number: 201-894-3636
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Mailing Address
MARYANN SOUS PA-C
100 E LANCASTER AVE
WYNNEWOOD, PA 19096-3450
Phone number: 484-476-1000
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