SHANE PARK

NEWARK, NJ
NPI1992551139
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2024-04-29
Last Update Date2024-04-29
Business Address
SHANE PARK
110 BERGEN ST
NEWARK, NJ 07103-2495
Phone number: 973-972-4620
Mailing Address
SHANE PARK
110 BERGEN ST
NEWARK, NJ 07103-2495
Phone number: 973-972-4620
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