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1174062558
JOHANNA K SHAHEED
NEWARK, NJ
NPI
1174062558
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: NJ 26nj00651600)
Enumeration Date
2017-02-17
Last Update Date
2017-02-17
Business Address
-- JOHANNA K SHAHEED
61 HOBSON ST
NEWARK, NJ 07112-1308
Phone number: 862-596-8255
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Mailing Address
-- JOHANNA K SHAHEED
61 HOBSON ST
NEWARK, NJ 07112-1308
Phone number: 862-596-8255
Copy
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