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Individual

JARED FAGANS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
1361 ROUTE 72 W, MANAHAWKIN, NJ 08050-2417
(201) 213-9133
Mailing address
1361 ROUTE 72 W, MANAHAWKIN, NJ 08050-2417
(201) 213-9133

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
NJ

Other

Enumeration date
11/12/2014
Last updated
11/12/2014
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