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1063168847
CORINE IWUALA
WEST ORANGE, NJ
NPI
1063168847
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: NJ 26NJ01276000)
Enumeration Date
2022-03-01
Last Update Date
2022-03-01
Business Address
CORINE IWUALA
97 MAYFAIR DR
WEST ORANGE, NJ 07052-2210
Phone number: 973-866-5350
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Mailing Address
CORINE IWUALA
97 MAYFAIR DR
WEST ORANGE, NJ 07052-2210
Phone number:
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