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1396564548
IJEOMA MIRACLE NWOBU
WYCKOFF, NJ
NPI
1396564548
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: NJ 06356750)
Enumeration Date
2024-10-05
Last Update Date
2024-10-05
Business Address
IJEOMA MIRACLE NWOBU
301 SICOMAC AVE
WYCKOFF, NJ 07481-2159
Phone number: 917-224-8622
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Mailing Address
IJEOMA MIRACLE NWOBU
53 PHILIP PL
IRVINGTON, NJ 07111-2908
Phone number: 917-224-8622
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