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MR. CLIFFORD IAN VANNEST

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
RPH.

Contact information

Practice address
3161 LAKEWOOD ROAD, POINT PLEASANT, NJ 08742
(732) 892-0196
(732) 892-0639
Mailing address
804 RIVER AVENUE, POINT PLEASANT BORO, NJ 08742
(732) 295-1093

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
28RI02765200
NJ

Other

Enumeration date
09/23/2011
Last updated
09/23/2011
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