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1194558361
ASHLEY L LAKE
GREEN BROOK, NJ
NPI
1194558361
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: NJ 26NJ15120900)
Enumeration Date
2024-08-23
Last Update Date
2024-12-08
Business Address
Mrs. ASHLEY L LAKE APN
257 US HIGHWAY 22
GREEN BROOK, NJ 08812-1807
Phone number: 732-968-7878
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Mailing Address
Mrs. ASHLEY L LAKE APN
257 US HIGHWAY 22
GREEN BROOK, NJ 08812-1807
Phone number: 908-672-6296
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