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1598458184
MYRNA L DATILUS
NEWARK, NJ
NPI
1598458184
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: NJ 26NP49551300)
Enumeration Date
2023-05-30
Last Update Date
2023-05-30
Business Address
MYRNA L DATILUS
11-15 CLINTON ST APT 6G
NEWARK, NJ 07102-3742
Phone number: 908-358-8322
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Mailing Address
MYRNA L DATILUS
11-15 CLINTON ST APT 6G
NEWARK, NJ 07102-3742
Phone number: 908-358-8322
Copy
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