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1386017507
LISA GENOVA
LINDEN, NJ
NPI
1386017507
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LA2200X Nurse Practitioner, Adult Health
(Licence: NJ 26nj00600100)
Enumeration Date
2015-11-10
Last Update Date
2015-11-10
Business Address
-- LISA GENOVA
850 N WOOD AVE
LINDEN, NJ 07036-4038
Phone number: 908-925-9309
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Mailing Address
-- LISA GENOVA
15 HILLCREST DR
CLARK, NJ 07066-2921
Phone number: 732-397-7940
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