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1114177045
PAMELA ANNE ROSE DEANDREA
HACKENSACK, NJ
NPI
1114177045
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Former Name
PAMELA ANNE ROSE
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LA2100X Nurse Practitioner, Acute Care
(Licence: NJ 26NJ00168700)
Enumeration Date
2008-09-29
Last Update Date
2008-09-29
Business Address
-- PAMELA ANNE ROSE DEANDREA APN
30 PROSPECT AVE ETD
HACKENSACK, NJ 07601-1914
Phone number: 201-996-4614
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Mailing Address
-- PAMELA ANNE ROSE DEANDREA APN
30 PROSPECT AVE ETD
HACKENSACK, NJ 07601-1914
Phone number: 201-996-4614
Copy
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