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Individual

MR. BILLIVENS SANON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
146 PEQUANNOCK ST, DOVER, NJ 07801-3585
(862) 216-1939
Mailing address
146 PEQUANNOCK ST, DOVER, NJ 07801-3585
(862) 216-1939

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
26NP06439100
NJ

Other

Enumeration date
09/07/2011
Last updated
09/07/2011
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