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1912681016
CHIAZOKAM AGATHA EZEORAH
NEWARK, NJ
NPI
1912681016
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: NJ 26NJ01401200)
Enumeration Date
2023-06-09
Last Update Date
2023-06-09
Business Address
CHIAZOKAM AGATHA EZEORAH
914-916 S 17TH ST APT 1
NEWARK, NJ 07108-1186
Phone number: 347-256-3065
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Mailing Address
CHIAZOKAM AGATHA EZEORAH
914-916 S 17TH ST APT 1
NEWARK, NJ 07108-1186
Phone number: 347-256-3065
Copy
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