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1770288953
THEA WATERS
ATLANTIC CITY, NJ
NPI
1770288953
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: NJ 26NP06310100)
Enumeration Date
2023-04-05
Last Update Date
2023-04-05
Business Address
THEA WATERS LPN
1101 ATLANTIC AVE
ATLANTIC CITY, NJ 08401-4805
Phone number: 609-344-2700
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Mailing Address
THEA WATERS LPN
24 FRAMBES AVE
PLEASANTVILLE, NJ 08232-3305
Phone number: 609-328-8484
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