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1225642200
CRESENCIA E LEOPOLD
NEWARK, NJ
NPI
1225642200
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LG0600X Nurse Practitioner, Gerontology
(Licence: NJ 26NJ01026300)
Enumeration Date
2020-09-07
Last Update Date
2020-09-07
Business Address
CRESENCIA E LEOPOLD ANP
201 LYONS AVE
NEWARK, NJ 07112-2027
Phone number: 973-868-2983
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Mailing Address
CRESENCIA E LEOPOLD ANP
201 LYONS AVE
NEWARK, NJ 07112-2027
Phone number: 973-868-2983
Copy
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