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RED BANK, NJ
NPI1457548422
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: NJ  26NN10406400)
Enumeration Date2007-10-03
Last Update Date2013-01-04
Business Address
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211 SHREWSBURY AVE
RED BANK, NJ 07701-1250
Phone number: 732-212-0777
Mailing Address
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211 SHREWSBURY AVE
RED BANK, NJ 07701-1250
Phone number:
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