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1285116822
MARY ROSE BOUTROS
TINTON FALLS, NJ
NPI
1285116822
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LA2200X Nurse Practitioner, Adult Health
(Licence: NJ 26NJ00851300)
Enumeration Date
2018-08-30
Last Update Date
2018-08-30
Business Address
MARY ROSE BOUTROS AGNP
22 TOPEKA CT
TINTON FALLS, NJ 07712-7508
Phone number: 732-618-7718
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Mailing Address
MARY ROSE BOUTROS AGNP
22 TOPEKA CT
TINTON FALLS, NJ 07712-7508
Phone number: 732-618-7718
Copy
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