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1417710245
MUTAHANNAH BROOMES
BRICK, NJ
NPI
1417710245
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: NJ 26NP07018600)
Enumeration Date
2024-02-05
Last Update Date
2024-02-05
Business Address
MUTAHANNAH BROOMES
293 BIRCH BARK DR
BRICK, NJ 08723-5901
Phone number: 732-604-6762
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Mailing Address
MUTAHANNAH BROOMES
PO BOX 4368
BRICK, NJ 08723-1568
Phone number:
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