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1215527874
NICOLE MARIE DOUGLAS
CHESTER, NJ
NPI
1215527874
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LA2200X Nurse Practitioner Adult Health
(Licence: NJ 26NJ01103800)
Enumeration Date
2021-01-19
Last Update Date
2021-01-19
Business Address
MRS. NICOLE MARIE DOUGLAS APN
415 ROUTE 24 STE E
CHESTER, NJ 07930-2920
Phone number: 908-879-1500
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Mailing Address
MRS. NICOLE MARIE DOUGLAS APN
19 REDWOOD RD
MARTINSVILLE, NJ 08836-2373
Phone number: 732-977-8506
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