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1609582766
JESSA LASSOR
WOODBURY, NJ
NPI
1609582766
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: NJ 26NJ01422500)
Enumeration Date
2023-01-23
Last Update Date
2023-02-02
Business Address
JESSA LASSOR APN
875 MANTUA PIKE STE B
WOODBURY, NJ 08096-3337
Phone number: 856-384-5949
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Mailing Address
JESSA LASSOR APN
112 E BEECHWOOD AVE
OAKLYN, NJ 08107-1321
Phone number: 609-364-8735
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