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1497941496
LAURIE MOODY-TIDCOMBE
EGG HARBOR TOWNSHIP, NJ
NPI
1497941496
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: NJ 26NJ00143100)
Enumeration Date
2007-09-24
Last Update Date
2008-03-03
Business Address
-- LAURIE MOODY-TIDCOMBE APN
2500 ENGLISH CREEK AVE SUITE 222
EGG HARBOR TOWNSHIP, NJ 08234-5549
Phone number: 609-407-2365
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Mailing Address
-- LAURIE MOODY-TIDCOMBE APN
2500 ENGLISH CREEK AVE SUITE 222
EGG HARBOR TOWNSHIP, NJ 08234-5549
Phone number: 609-407-2365
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