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1922335371
SHORE NURSE PRACTITIONER GROUP LLC
TINTON FALLS, NJ
NPI
1922335371
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Entity Type
Organization
Authorized Contact
MUSTAK RAHMAN
Manager
848-466-6011
Organization Subpart ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: NJ 26NJ00037000)
Enumeration Date
2009-11-05
Last Update Date
2009-11-05
Business Address
SHORE NURSE PRACTITIONER GROUP LLC
71 ANNAPOLIS ST
TINTON FALLS, NJ 07712-3175
Phone number: 848-466-6011
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Mailing Address
SHORE NURSE PRACTITIONER GROUP LLC
71 ANNAPOLIS ST
TINTON FALLS, NJ 07712-3175
Phone number: 848-466-6011
Copy
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