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1205612678
BENNETH IFEYANYI MEKOBA
LINDEN, NJ
NPI
1205612678
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: NJ 26NJ14895300)
Enumeration Date
2023-09-01
Last Update Date
2023-09-01
Business Address
Mr. BENNETH IFEYANYI MEKOBA APN
1203 W ST GEORGE AVE
LINDEN, NJ 07036
Phone number: 908-583-5151
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Mailing Address
Mr. BENNETH IFEYANYI MEKOBA APN
586 WOODSIDE AVE
ROSELLE, NJ 07203
Phone number: 973-495-7914
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