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Individual

KIMBERLY SANCHEZ-AGUAYO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
913 MAIN AVE, PASSAIC, NJ 07055-8540
(973) 458-8000
Mailing address
101 CLARK ST, DOVER, NJ 07801-3627
(862) 219-0487

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
25MP00474500
NJ

Other

Enumeration date
07/18/2018
Last updated
07/18/2018
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