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1568900405
YENNY REYNOSO
PASSAIC, NJ
NPI
1568900405
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: NJ 26NJ14908500)
Enumeration Date
2017-02-10
Last Update Date
2023-11-07
Business Address
YENNY REYNOSO
335 PASSAIC ST
PASSAIC, NJ 07055-5818
Phone number: 973-779-5554
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Mailing Address
YENNY REYNOSO
335 PASSAIC ST
PASSAIC, NJ 07055-5818
Phone number: 973-779-5554
Copy
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