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1770775959
D'JUANA LASHA CLARK
NEW BRUNSWICK, NJ
NPI
1770775959
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LW0102X Nurse Practitioner, Women's Health
(Licence: NJ 26NJ00135800)
Enumeration Date
2007-08-13
Last Update Date
2019-01-17
Business Address
Mrs. D'JUANA LASHA CLARK APN-C
123 HOW LN
NEW BRUNSWICK, NJ 08901-3653
Phone number: 732-745-8600
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Mailing Address
Mrs. D'JUANA LASHA CLARK APN-C
15 CONGRESS LN
SOUTH RIVER, NJ 08882-2580
Phone number: 732-432-7891
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