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1003563636
PHENITA SAMMANTHA MOUZON
MARLTON, NJ
NPI
1003563636
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: NJ 26NJ01281000)
Enumeration Date
2022-03-03
Last Update Date
2023-08-15
Business Address
PHENITA SAMMANTHA MOUZON
777 ROUTE 70 E STE G101
MARLTON, NJ 08053-2548
Phone number: 856-818-4020
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Mailing Address
PHENITA SAMMANTHA MOUZON
68 WOODHAVEN RD
TOMS RIVER, NJ 08753-2062
Phone number: 732-998-7191
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