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1659793875
MICHELE BOONSTRA
HACKENSACK, NJ
NPI
1659793875
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LA2200X Nurse Practitioner, Adult Health
(Licence: NJ 26NJ00467100)
Enumeration Date
2014-01-07
Last Update Date
2014-01-07
Business Address
-- MICHELE BOONSTRA MSN, NP-C
92 SECOND ST
HACKENSACK, NJ 07601
Phone number: 551-996-5900
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Mailing Address
-- MICHELE BOONSTRA MSN, NP-C
92 SECOND ST
HACKENSACK, NJ 07601
Phone number: 551-996-5900
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