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1750033320
JOHN A GASATAYA
LODI, NJ
NPI
1750033320
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: NJ 26NJ01261700)
Enumeration Date
2022-01-24
Last Update Date
2022-11-12
Business Address
JOHN A GASATAYA
348 HARRISON AVE
LODI, NJ 07644-1121
Phone number: 212-804-8226
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Mailing Address
JOHN A GASATAYA
348 HARRISON AVE
LODI, NJ 07644-1121
Phone number: 212-804-8226
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