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1245927052
JOY SHANNON
FAIR LAWN, NJ
NPI
1245927052
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: NJ 26NJ01407600)
Enumeration Date
2023-04-20
Last Update Date
2024-04-19
Business Address
JOY SHANNON
22-02 BROADWAY
FAIR LAWN, NJ 07410-3016
Phone number: 551-299-2900
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Mailing Address
JOY SHANNON
10-12 SCOTT ST
NEWARK, NJ 07102-3492
Phone number: 862-902-3094
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