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1457071763
TATUM ANN VITALE
RED BANK, NJ
NPI
1457071763
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: NJ 26NJ01359700)
Enumeration Date
2022-08-29
Last Update Date
2022-08-29
Business Address
TATUM ANN VITALE APN-C
1 RIVERVIEW PLZ
RED BANK, NJ 07701-1864
Phone number: 732-530-2279
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Mailing Address
TATUM ANN VITALE APN-C
612 DOW AVE
OAKHURST, NJ 07755-2815
Phone number:
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