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1508628314
TRACEY ROSE
ENGLEWOOD, NJ
NPI
1508628314
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: NJ 26NJ15010200)
Enumeration Date
2024-01-26
Last Update Date
2024-02-17
Business Address
TRACEY ROSE APN
93 W PALISADE AVE
ENGLEWOOD, NJ 07631-2611
Phone number: 201-567-0500
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Mailing Address
TRACEY ROSE APN
133 BERGEN AVE
BERGENFIELD, NJ 07621-2422
Phone number: 201-892-2453
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