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1437892981
LISA COSSABOON
BRIDGETON, NJ
NPI
1437892981
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: NJ 26Nj01294300)
Enumeration Date
2022-04-13
Last Update Date
2022-04-13
Business Address
LISA COSSABOON
201 LAUREL HEIGHTS DR
BRIDGETON, NJ 08302-3635
Phone number: 856-455-4800
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Mailing Address
LISA COSSABOON
173 LANDING RD
NEWPORT, NJ 08345-2022
Phone number: 856-297-7775
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