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1801644505
AMANDA STACKHOUSE
NEW BRUNSWICK, NJ
NPI
1801644505
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Former Name
AMANDA LAKE
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: NJ 26NJ15002000)
Enumeration Date
2024-05-08
Last Update Date
2024-05-08
Business Address
AMANDA STACKHOUSE APN
254 EASTON AVE
NEW BRUNSWICK, NJ 08901-1766
Phone number: 732-745-8600
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Mailing Address
AMANDA STACKHOUSE APN
6 GAIL RD
HILLSBOROUGH, NJ 08844-4207
Phone number: 908-392-4475
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