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1154011120
BOLAKALE IKWU
UNION, NJ
NPI
1154011120
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LP0808X Nurse Practitioner Psychiatric/Mental Health
(Licence: NJ 26NJ01481700)
Enumeration Date
2023-05-11
Last Update Date
2023-05-17
Business Address
BOLAKALE IKWU PMHNP-BC,MSN,CNL,RN
936 STUYVESANT AVE
UNION, NJ 07083-6991
Phone number: 973-449-9885
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Mailing Address
BOLAKALE IKWU PMHNP-BC,MSN,CNL,RN
1572 RIDGEWAY ST
UNION, NJ 07083-5130
Phone number: 973-449-9885
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