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1649798455
SHANDEL DOUGLAS
EAST ORANGE, NJ
NPI
1649798455
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LP2300X Nurse Practitioner, Primary Care
(Licence: NJ 26NJ00747600)
Enumeration Date
2017-08-31
Last Update Date
2019-04-24
Business Address
SHANDEL DOUGLAS APN
310 CENTRAL AVENUE SUITE 102
EAST ORANGE, NJ 07018
Phone number: 973-395-1550
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Mailing Address
SHANDEL DOUGLAS APN
21 EDGEWOOD ROAD
SUMMIT, NJ 07901
Phone number: 973-395-1550
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