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1770038788
ISAAC O OMOLOYIN
WAYNE, NJ
NPI
1770038788
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: NJ 26NJ00661000)
Enumeration Date
2016-08-19
Last Update Date
2016-08-19
Business Address
-- ISAAC O OMOLOYIN PMHNP-BC
401 HAMBURG TPKE SUITE 302
WAYNE, NJ 07470-2154
Phone number: 973-790-9222
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Mailing Address
-- ISAAC O OMOLOYIN PMHNP-BC
401 HAMBURG TPKE SUITE 302
WAYNE, NJ 07470-2154
Phone number: 973-790-9222
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