JACKITO JUGAN DAITOL

EAST ORANGE, NJ
NPI1891762662
Other NameJACK JUGAN DAITOL
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363LA2200X Nurse Practitioner Adult Health
(Licence: NJ  26NN09365100)
Enumeration Date2006-03-01
Last Update Date2012-10-22
Business Address
JACKITO JUGAN DAITOL NP
385 TREMONT AVE
EAST ORANGE, NJ 07018-1023
Phone number: 973-676-1000
Mailing Address
JACKITO JUGAN DAITOL NP
801 WALNUT ST
ROSELLE PARK, NJ 07204-1350
Phone number: 908-245-0604
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