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1124809801
LIFTUP LIVEWELL LLC
JERSEY CITY, NJ
NPI
1124809801
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Entity Type
Organization
Authorized Contact
NERISA BRYAN
Owner
212-918-4488
Organization Subpart ?
No
Primary Taxonomy
363LP0808X Nurse Practitioner Psychiatric/Mental Health
Enumeration Date
2023-10-10
Last Update Date
2023-11-29
Business Address
LIFTUP LIVEWELL LLC
111 TOWN SQUARE PL STE 803054
JERSEY CITY, NJ 07310-1755
Phone number: 212-918-4488
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Mailing Address
LIFTUP LIVEWELL LLC
111 TOWN SQUARE PL STE 803054
JERSEY CITY, NJ 07310-1755
Phone number: 212-918-4488
Copy
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