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1538865779
MARY A WHITE
LAKEWOOD, NJ
NPI
1538865779
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LP0200X Nurse Practitioner, Pediatrics
(Licence: NJ NN78638)
Enumeration Date
2023-01-31
Last Update Date
2023-05-31
Business Address
MARY A WHITE CPNP-PC
101 2ND ST
LAKEWOOD, NJ 08701-3324
Phone number: 732-363-6655
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Mailing Address
MARY A WHITE CPNP-PC
991 BEACH HAVEN WEST BLVD
MANAHAWKIN, NJ 08050-3812
Phone number: 732-266-3587
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