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1336404201
JAVICIA N PETERSON-COLE
WEST ORANGE, NJ
NPI
1336404201
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LA2200X Nurse Practitioner, Adult Health
(Licence: NJ 26NJ00311500)
Enumeration Date
2012-07-06
Last Update Date
2015-02-05
Business Address
-- JAVICIA N PETERSON-COLE
101 OLD SHORT HILLS RD SUITE 401
WEST ORANGE, NJ 07052-1000
Phone number: 973-322-6532
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Mailing Address
-- JAVICIA N PETERSON-COLE
101 OLD SHORT HILLS RD SUITE 401
WEST ORANGE, NJ 07052-1000
Phone number: 973-322-6532
Copy
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