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1548872815
DEIDRE A WILLIAMS
HACKENSACK, NJ
NPI
1548872815
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: NJ 26NJ00979900)
Enumeration Date
2020-08-18
Last Update Date
2022-02-16
Business Address
DEIDRE A WILLIAMS APN
30 PROSPECT AVE
HACKENSACK, NJ 07601-1915
Phone number: 551-996-2000
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Mailing Address
DEIDRE A WILLIAMS APN
30 PROSPECT AVE
HACKENSACK, NJ 07601-1915
Phone number: 551-996-2000
Copy
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