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1639944192
EMPRIS VANDIVIER
NEWARK, NJ
NPI
1639944192
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: NJ 26NP49553900)
Enumeration Date
2023-11-15
Last Update Date
2023-11-15
Business Address
EMPRIS VANDIVIER
584 S 20TH ST
NEWARK, NJ 07103-1113
Phone number: 973-393-4344
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Mailing Address
EMPRIS VANDIVIER
584 S 20TH ST
NEWARK, NJ 07103-1113
Phone number:
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