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Individual

MARIE LUCIEN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPN

Contact information

Practice address
153 KENSINGTON DR, GALLOWAY, NJ 08205-4679
(800) 950-6066
Mailing address
153 KENSINGTON DR, GALLOWAY, NJ 08205-4679
(800) 950-6066

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
26NE01186100
NJ

Other

Enumeration date
03/18/2009
Last updated
03/18/2009
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