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1992369458
DIMYANA ATA
EGG HARBOR TOWNSHIP, NJ
NPI
1992369458
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363A00000X Physician Assistant
(Licence: NJ 25MP00534100)
Enumeration Date
2019-04-30
Last Update Date
2019-09-22
Business Address
DIMYANA ATA PA-C
2500 ENGLISH CREEK AVE
EGG HARBOR TOWNSHIP, NJ 08234-5549
Phone number: 609-442-6803
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Mailing Address
DIMYANA ATA PA-C
200 ASHLAND AVE
EGG HARBOR TOWNSHIP, NJ 08234-5567
Phone number: 609-442-6803
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