Statements: CUSTIS, KEVIN

Canonical ID: us-mednj-115840301178a3c2b5bb71322a3adb98e21042f5 · Entity type: LegalEntity (reference)

PropertyValueLangSource datasetSource IDFirst seen
LegalEntity:address908 MAIN STREET, ASBURY PARK, NJ 07712engus_nj_med_exclusionsus-mednj-115840301178a3c2b5bb71322a3adb98e21042f5
LegalEntity:addressEntityaddr-a2a310f8bcbfecfa04d1dbbb443af44e5c362feeengus_nj_med_exclusionsus-mednj-115840301178a3c2b5bb71322a3adb98e21042f5
LegalEntity:countryusengus_nj_med_exclusionsus-mednj-115840301178a3c2b5bb71322a3adb98e21042f5
LegalEntity:id1a2e5e53a99c42d2fd4ac3c1d610ccd16033d496engus_nj_med_exclusionsus-mednj-115840301178a3c2b5bb71322a3adb98e21042f5
LegalEntity:nameCUSTIS, KEVINengus_nj_med_exclusionsus-mednj-115840301178a3c2b5bb71322a3adb98e21042f5
LegalEntity:npiCode1811976970engus_nj_med_exclusionsus-mednj-115840301178a3c2b5bb71322a3adb98e21042f5
LegalEntity:sectorMDengus_nj_med_exclusionsus-mednj-115840301178a3c2b5bb71322a3adb98e21042f5
LegalEntity:topicsdebarmentengus_nj_med_exclusionsus-mednj-115840301178a3c2b5bb71322a3adb98e21042f5
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