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1962091710
AUGUSTINA CHRISTINE DEFOE
NEWARK, NJ
NPI
1962091710
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LG0600X Nurse Practitioner, Gerontology
(Licence: NJ 26NJ01101400)
Enumeration Date
2021-01-15
Last Update Date
2021-01-15
Business Address
AUGUSTINA CHRISTINE DEFOE APN, MSN
201 LYONS AVE STE L4
NEWARK, NJ 07112-2027
Phone number: 973-926-7205
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Mailing Address
AUGUSTINA CHRISTINE DEFOE APN, MSN
1041 SANFORD AVE APT 1
IRVINGTON, NJ 07111-5461
Phone number: 862-218-8729
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