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1568986404
KISHA COOK
NEWARK, NJ
NPI
1568986404
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: NJ 26NJ00717400)
Enumeration Date
2017-08-02
Last Update Date
2017-08-02
Business Address
KISHA COOK NP
150 BERGEN ST
NEWARK, NJ 07103-2496
Phone number: 973-972-5123
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Mailing Address
KISHA COOK NP
150 BERGEN ST
NEWARK, NJ 07103-2496
Phone number:
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