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1700612983
ODETTE NSINGA MATHOS
NEWARK, NJ
NPI
1700612983
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: NJ 26NJ15125900)
Enumeration Date
2024-09-12
Last Update Date
2024-09-12
Business Address
ODETTE NSINGA MATHOS APN
16 LYONS AVE
NEWARK, NJ 07112-2438
Phone number: 862-576-0952
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Mailing Address
ODETTE NSINGA MATHOS APN
16 LYONS AVE
NEWARK, NJ 07112-2438
Phone number: 862-576-0952
Copy
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