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1477964971
ELIZA MAE TANGONAN
BAYONNE, NJ
NPI
1477964971
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: NJ 26NJ00498900)
Enumeration Date
2014-05-19
Last Update Date
2014-05-19
Business Address
Ms. ELIZA MAE TANGONAN APN-C
74 ANDREW ST
BAYONNE, NJ 07002-2606
Phone number: 201-360-1793
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Mailing Address
Ms. ELIZA MAE TANGONAN APN-C
74 ANDREW ST
BAYONNE, NJ 07002-2606
Phone number: 201-360-1793
Copy
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