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1477980415
CAMILLE MARIE LICATA
VERONA, NJ
NPI
1477980415
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LA2200X Nurse Practitioner Adult Health
(Licence: NJ 26NJ00765000)
Enumeration Date
2013-10-06
Last Update Date
2021-08-18
Business Address
MS. CAMILLE MARIE LICATA NP
825 BLOOMFIELD AVE STE LL-1
VERONA, NJ 07044-1366
Phone number: 973-233-4493
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Mailing Address
MS. CAMILLE MARIE LICATA NP
700 RTE 46 E STE 450
FAIRFIELD, NJ 07004
Phone number: 973-559-3700
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