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1275025967
SUSAN STIVES
HACKENSACK, NJ
NPI
1275025967
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LA2200X Nurse Practitioner, Adult Health
(Licence: NJ 26NN05694300)
Enumeration Date
2018-05-30
Last Update Date
2018-05-30
Business Address
SUSAN STIVES Nurse Practitioner
92 2ND ST
HACKENSACK, NJ 07601-2191
Phone number: 551-996-3033
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Mailing Address
SUSAN STIVES Nurse Practitioner
52 ROSE LN
ROCKAWAY, NJ 07866-3324
Phone number:
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