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1457865529
EVA DONNA MANGLICMOT BANAG
NEPTUNE, NJ
NPI
1457865529
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LA2100X Nurse Practitioner, Acute Care
(Licence: NJ 26NJ00780700)
Enumeration Date
2017-11-27
Last Update Date
2017-11-27
Business Address
EVA DONNA MANGLICMOT BANAG APN
1945 ROUTE 33
NEPTUNE, NJ 07753-4859
Phone number: 732-776-4307
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Mailing Address
EVA DONNA MANGLICMOT BANAG APN
1015 GRASSMERE AVE
OCEAN, NJ 07712-4227
Phone number:
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