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1588009047
TELATHA A SURUJNATH
LAKEWOOD, NJ
NPI
1588009047
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: NJ 26NJ00415700)
Enumeration Date
2013-05-09
Last Update Date
2013-05-09
Business Address
-- TELATHA A SURUJNATH NP
1771 MADISON AVE
LAKEWOOD, NJ 08701
Phone number: 732-364-2144
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Mailing Address
-- TELATHA A SURUJNATH NP
1771 MADISON AVE
LAKEWOOD, NJ 08701
Phone number: 732-364-2144
Copy
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