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1578058749
TRI LE
NEWARK, NJ
NPI
1578058749
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: NJ 26NJ00820500)
Enumeration Date
2018-06-28
Last Update Date
2018-06-28
Business Address
TRI LE
201 LYONS AVE
NEWARK, NJ 07112-2027
Phone number: 800-843-2384
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Mailing Address
TRI LE
201 LYONS AVE
NEWARK, NJ 07112-2027
Phone number: 800-843-2384
Copy
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