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1144509159
NIKEL S MYRICK
NEWARK, NJ
NPI
1144509159
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Enumeration Date
2011-08-08
Last Update Date
2011-08-08
Business Address
-- NIKEL S MYRICK
784 CLINTON AVE SUITE 3
NEWARK, NJ 07108-1045
Phone number: 973-395-6908
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Mailing Address
-- NIKEL S MYRICK
250 ROSEVILLE AVE. APT 5
NEWARK, NJ 07107
Phone number: 973-395-6908
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