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1285852913
DAVITA MICHELLE ENNALS
BURLINGTON, NJ
NPI
1285852913
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
376K00000X Nurse's Aide
(Licence: NJ NA8116134)
Enumeration Date
2007-04-20
Last Update Date
2007-07-08
Business Address
-- DAVITA MICHELLE ENNALS CNA
261 CONNECTICUT DR SUITE 5
BURLINGTON, NJ 08016-4177
Phone number: 800-950-6066
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Mailing Address
-- DAVITA MICHELLE ENNALS CNA
107 E LINCOLN AVE
WILDWOOD, NJ 08260-6107
Phone number: 609-553-0714
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