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1356686794
SALLY JOY LEEDS
LAKEWOOD, NJ
NPI
1356686794
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LA2200X Nurse Practitioner, Adult Health
(Licence: NJ 26NN06598100)
Enumeration Date
2012-12-11
Last Update Date
2017-01-18
Business Address
Mrs. SALLY JOY LEEDS ARNP
101 2ND ST
LAKEWOOD, NJ 08701-3324
Phone number: 732-363-6655
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Mailing Address
Mrs. SALLY JOY LEEDS ARNP
101 2ND ST
LAKEWOOD, NJ 08701-3324
Phone number: 732-363-6655
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