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1023352788
LESLIE V VILLANUEVA
HACKENSACK, NJ
NPI
1023352788
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LP2300X Nurse Practitioner, Primary Care
(Licence: NJ 2600396800)
Enumeration Date
2012-11-19
Last Update Date
2012-11-19
Business Address
-- LESLIE V VILLANUEVA APN
92 SUMMIT AVE
HACKENSACK, NJ 07601-1263
Phone number: 201-342-0066
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Mailing Address
-- LESLIE V VILLANUEVA APN
389 WESTMINSTER PL
LODI, NJ 07644-1218
Phone number: 201-663-1203
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