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1952711194
BOLANLE POPOOLA
LAKEWOOD, NJ
NPI
1952711194
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: NJ 26NJ00494100)
Enumeration Date
2014-04-28
Last Update Date
2014-04-28
Business Address
-- BOLANLE POPOOLA APN
399 ALBERT AVE
LAKEWOOD, NJ 08701-5406
Phone number: 732-895-4733
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Mailing Address
-- BOLANLE POPOOLA APN
399 ALBERT AVE
LAKEWOOD, NJ 08701-5406
Phone number: 732-895-4733
Copy
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