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1215081732
MARY JACQUELINE NICOSIA
RED BANK, NJ
NPI
1215081732
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: NY 26NO06130700)
Enumeration Date
2007-01-22
Last Update Date
2007-07-08
Business Address
Ms. MARY JACQUELINE NICOSIA R.N. APN-C
211 SHREWSBURY AVE
RED BANK, NJ 07701-1250
Phone number: 732-212-8442
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Mailing Address
Ms. MARY JACQUELINE NICOSIA R.N. APN-C
126 MANOR DR
RED BANK, NJ 07701-2461
Phone number: 732-687-5321
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