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1639141211
VIRGINIA MACKO
MORRISTOWN, NJ
NPI
1639141211
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: NJ 26NO04345900)
Enumeration Date
2006-02-07
Last Update Date
2007-07-08
Business Address
-- VIRGINIA MACKO NPC
100 MADISON AVE
MORRISTOWN, NJ 07960-6136
Phone number: 973-971-5595
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Mailing Address
-- VIRGINIA MACKO NPC
PO BOX 23831
NEWARK, NJ 07189-0001
Phone number: 973-971-5595
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