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1619726940
LYDIA VIVIAN WOOLSON
GALLOWAY, NJ
NPI
1619726940
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207QA0401X Family Medicine, Addiction Medicine
(Licence: NJ 26NP49589200)
Enumeration Date
2024-05-17
Last Update Date
2024-05-17
Business Address
LYDIA VIVIAN WOOLSON LPN
337 E JIMMIE LEEDS RD
GALLOWAY, NJ 08205
Phone number: 800-805-6989
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Mailing Address
LYDIA VIVIAN WOOLSON LPN
230 NORFOLK AVE
EGG HARBOR CITY, NJ 08215-1326
Phone number: 609-536-5210
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