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1023895042
SUELA LITA
BLOOMFIELD, NJ
NPI
1023895042
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: NJ 26NJ14932200)
Enumeration Date
2023-09-12
Last Update Date
2024-01-17
Business Address
SUELA LITA
300 BROADACRES DR
BLOOMFIELD, NJ 07003-3153
Phone number: 862-314-7030
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Mailing Address
SUELA LITA
300 BROADACRES DR
BLOOMFIELD, NJ 07003-3153
Phone number: 862-314-7030
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