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1063100162
WANDA LYNN SERMON
PATERSON, NJ
NPI
1063100162
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: NJ 26NP07315800)
Enumeration Date
2023-04-26
Last Update Date
2023-04-26
Business Address
WANDA LYNN SERMON LPN
350 PREAKNESS AVE
PATERSON, NJ 07502-1757
Phone number: 973-595-1075
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Mailing Address
WANDA LYNN SERMON LPN
1266 TEANECK RD APT 8
TEANECK, NJ 07666-4947
Phone number: 917-567-5989
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