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1063015469
MICHELLE AMENDOLIA
GALLOWAY, NJ
NPI
1063015469
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: NJ 26NJ01064900)
Enumeration Date
2020-11-18
Last Update Date
2020-11-18
Business Address
MICHELLE AMENDOLIA
54 W JIMMIE LEEDS RD
GALLOWAY, NJ 08205-9438
Phone number: 609-652-1000
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Mailing Address
MICHELLE AMENDOLIA
235 CHURCHILL DR
EGG HBR TWP, NJ 08234-8003
Phone number: 609-335-9585
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