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Individual

MISS VIRGINIA CAROLINE BIASE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
192 CENTRAL AVE, ISLAND HEIGHTS, NJ 08732-0873
(252) 646-8933
Mailing address
PO BOX 1079, ISLAND HEIGHTS, NJ 08732-1079
(252) 646-8933

Taxonomy

Speciality
Code
Description
License number
State
101YS0200X
School Counselor
Primary
1151689
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
00092396300
MILITARY ID
Enumeration date
03/06/2020
Last updated
03/06/2020
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