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Individual

MARILYN SOBERANO IV

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
HEMODIALYSIS RN.

Contact information

Practice address
2105 BARCLAY CT, RANDOLPH, NJ 07869-1270
(973) 978-7351
(973) 927-1873
Mailing address
PO BOX 224, DOVER, NJ 07802-0224
(973) 978-7351
(973) 927-1873

Taxonomy

Speciality
Code
Description
License number
State
163WH0500X
Hemodialysis Registered Nurse
Primary
26NO10205000
NJ

Other

Enumeration date
12/04/2014
Last updated
12/08/2014
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