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1891517942
REGINA PATRICK
MONTCLAIR, NJ
NPI
1891517942
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: NJ 26NJ151182400)
Enumeration Date
2024-10-29
Last Update Date
2024-10-29
Business Address
REGINA PATRICK
1 BAY AVE
MONTCLAIR, NJ 07042-4837
Phone number: 973-429-6000
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Mailing Address
REGINA PATRICK
762 SEAPORT DR
ELIZABETH, NJ 07201-3385
Phone number: 973-444-9108
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