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1588181713
FRED LWAKAAKA
LITTLE EGG HARBOR TWP, NJ
NPI
1588181713
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LG0600X Nurse Practitioner, Gerontology
(Licence: NJ 26NJ00731800)
Enumeration Date
2017-08-28
Last Update Date
2017-08-28
Business Address
FRED LWAKAAKA APRN
281 MATHISTOWN RD
LITTLE EGG HARBOR TWP, NJ 08087-4066
Phone number: 609-857-4141
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Mailing Address
FRED LWAKAAKA APRN
61 ASHLEY DR
FRANKLINVILLE, NJ 08322-2686
Phone number: 732-986-3486
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