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1073337887
JACQUELINE WISEMAN
BLOOMFIELD, NJ
NPI
1073337887
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: NY 354793)
Enumeration Date
2024-11-09
Last Update Date
2024-11-09
Business Address
JACQUELINE WISEMAN NP
92 WILLOW ST UNIT 1
BLOOMFIELD, NJ 07003-3241
Phone number: 201-982-6128
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Mailing Address
JACQUELINE WISEMAN NP
92 WILLOW ST UNIT 1
BLOOMFIELD, NJ 07003-3241
Phone number: 201-982-6128
Copy
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