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Individual

DELORES M EAVES

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
432 BERGEN ST, HARRISON, NJ 07029-2291
(201) 679-8559
Mailing address
432 BERGEN ST, HARRISON, NJ 07029-2291

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
0002057484
VA

Other

Enumeration date
08/15/2023
Last updated
08/15/2023
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