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Individual

MICHAEL PETER VANBLARGAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
1777 HUBBARD LN, VINELAND, NJ 08360-1906
(856) 982-3530
Mailing address
7108 S KANNER HWY, STUART, FL 34997-7462
(185) 583-2672

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
106S00000X
NJ
Enumeration date
02/16/2023
Last updated
02/16/2023
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