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1003587056
LISA BLOMGREN
BLOOMFIELD, NJ
NPI
1003587056
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LA2100X Nurse Practitioner, Acute Care
(Licence: NJ NJ2601203000)
Enumeration Date
2021-09-21
Last Update Date
2021-09-21
Business Address
LISA BLOMGREN ACNPC-AG
120 LINDBERGH BLVD
BLOOMFIELD, NJ 07003-4500
Phone number: 973-508-2697
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Mailing Address
LISA BLOMGREN ACNPC-AG
120 LINDBERGH BLVD
BLOOMFIELD, NJ 07003-4500
Phone number:
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