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1144467861
IRIS FOBANJONG
WILLINGBORO, NJ
NPI
1144467861
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: NJ 26np05761300)
Enumeration Date
2009-01-16
Last Update Date
2009-01-16
Business Address
-- IRIS FOBANJONG LPN
68 BOXWOOD LN
WILLINGBORO, NJ 08046-1619
Phone number: 800-950-6066
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Mailing Address
-- IRIS FOBANJONG LPN
68 BOXWOOD LN
WILLINGBORO, NJ 08046-1619
Phone number: 800-950-6066
Copy
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