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1154751162
SHIRLEY LACADEN PEGOLLO
SPARTA, NJ
NPI
1154751162
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LA2200X Nurse Practitioner, Adult Health
(Licence: NJ 26NJ00444200)
Enumeration Date
2013-11-13
Last Update Date
2023-07-07
Business Address
Mrs. SHIRLEY LACADEN PEGOLLO APN
9 PONDEROSA TRL
SPARTA, NJ 07871-3229
Phone number: 973-768-7300
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Mailing Address
Mrs. SHIRLEY LACADEN PEGOLLO APN
222 HIGH ST STE 103
NEWTON, NJ 07860-9604
Phone number: 973-756-1504
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