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1326212796
LIANE PAIXAO-ILLA
NEWARK, NJ
NPI
1326212796
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LA2200X Nurse Practitioner Adult Health
(Licence: NJ 26NN06526400)
Enumeration Date
2008-04-16
Last Update Date
2008-04-16
Business Address
MS. LIANE PAIXAO-ILLA NP
788 MOUNT PROSPECT AVE
NEWARK, NJ 07104-3221
Phone number: 973-485-6433
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Mailing Address
MS. LIANE PAIXAO-ILLA NP
5 SHOREHAM CT
EAST WINDSOR, NJ 08520-5101
Phone number: 609-443-6286
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