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1316765266
MAILA MARIE MANTILA
HOLMDEL, NJ
NPI
1316765266
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LP2300X Nurse Practitioner, Primary Care
(Licence: NJ 26NJ15133600)
Enumeration Date
2024-09-30
Last Update Date
2024-10-07
Business Address
MAILA MARIE MANTILA NP-C
23 MAIN ST STE D1
HOLMDEL, NJ 07733-2136
Phone number: 732-571-1000
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Mailing Address
MAILA MARIE MANTILA NP-C
2 MARLIN CT
JACKSON, NJ 08527-4859
Phone number:
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