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1437880648
MIMEROSE P. LANG
ENGLEWOOD, NJ
NPI
1437880648
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: NJ 26NJ013180600)
Enumeration Date
2022-06-19
Last Update Date
2024-09-27
Business Address
MIMEROSE P. LANG
350 ENGLE ST
ENGLEWOOD, NJ 07631-1808
Phone number: 201-292-1400
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Mailing Address
MIMEROSE P. LANG
712 E 27TH ST APT 3A
BROOKLYN, NY 11210-2217
Phone number: 646-591-9964
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