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1538635669
AGNES FAGAN
SEWELL, NJ
NPI
1538635669
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LP0200X Nurse Practitioner, Pediatrics
(Licence: NJ 26NJ00851200)
Enumeration Date
2018-10-16
Last Update Date
2018-10-16
Business Address
AGNES FAGAN APN
269 FISH POND RD
SEWELL, NJ 08080-3047
Phone number: 856-863-9999
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Mailing Address
AGNES FAGAN APN
269 FISH POND RD
SEWELL, NJ 08080-3047
Phone number: 856-863-9999
Copy
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