FANNIE GRACE BOLDEN

CAMDEN, NJ
NPI1366452971
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LX0001X Nurse Practitioner, Obstetrics & Gynecology
(Licence: NJ  26NN01681200)
Enumeration Date2006-08-08
Last Update Date2007-07-08
Business Address
-- FANNIE GRACE BOLDEN RN APNC
317 BROADWAY
CAMDEN, NJ 08013
Phone number: 856-365-3519
Mailing Address
-- FANNIE GRACE BOLDEN RN APNC
115 WRIGHT AVE APT D34
STRATFORD, NJ 08084
Phone number: 856-783-2175
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