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1316675531
JACQUELINE MARIE IANNACONE
MANASQUAN, NJ
NPI
1316675531
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: NJ 26NJ01352900)
Enumeration Date
2022-08-15
Last Update Date
2024-08-01
Business Address
Mrs. JACQUELINE MARIE IANNACONE PMHNP-BC, CARN
2640 HIGHWAY 70 BLDG 7A
MANASQUAN, NJ 08736-2609
Phone number: 347-302-3514
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Mailing Address
Mrs. JACQUELINE MARIE IANNACONE PMHNP-BC, CARN
382 ATLANTIS AVE
MANAHAWKIN, NJ 08050-2068
Phone number: 347-302-3514
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