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1912109828
ADA BANKS
NEWARK, NJ
NPI
1912109828
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LW0102X Nurse Practitioner, Women's Health
(Licence: NJ 26nn05167400)
Enumeration Date
2007-06-03
Last Update Date
2007-07-08
Business Address
-- ADA BANKS
185 S ORANGE AVE ROOM E-506
NEWARK, NJ 07103-2757
Phone number: 972-972-2708
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Mailing Address
-- ADA BANKS
14 WOODLAND AVE
EAST ORANGE, NJ 07017-2006
Phone number: 973-673-5968
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