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NPI Profile for MARILYN SOBERANO IV in RANDOLPH, NJ.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Hemodialysis |
163WH0500X |
| NPI # | 1215334347 |
|
| Status | Active | |
| Credentials | HEMODIALYSIS RN. | |
| Entity | Individual | |
| Enumeration date | 12/04/2014 | |
| Last updated | 12/08/2014 - About 11 years ago | |
| Sole proprietor 1 | Yes | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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MARILYN SOBERANO IV
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MARILYN SOBERANO IV, HEMODIALYSIS RN.