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1891045688
YELENA RAFAELOV
LAKEWOOD, NJ
NPI
1891045688
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: NJ 26NJ00350000)
Enumeration Date
2012-09-19
Last Update Date
2012-09-19
Business Address
-- YELENA RAFAELOV
105 SARAH CT
LAKEWOOD, NJ 08701
Phone number: 732-995-9653
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Mailing Address
-- YELENA RAFAELOV
105 SARAH CT
LAKEWOOD, NJ 08701
Phone number: 732-995-9653
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