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1467968396
TINA WISMAR
LAKEWOOD, NJ
NPI
1467968396
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: NJ 26NJ00783400)
Enumeration Date
2017-12-14
Last Update Date
2017-12-14
Business Address
Mrs. TINA WISMAR FNP-BC
101 2ND ST
LAKEWOOD, NJ 08701-3324
Phone number: 732-719-1506
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Mailing Address
Mrs. TINA WISMAR FNP-BC
101 2ND ST
LAKEWOOD, NJ 08701-3324
Phone number: 732-719-1506
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