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1972371888
KRYSTITE CARE LLC
WEST ORANGE, NJ
NPI
1972371888
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Entity Type
Organization
Authorized Contact
CHRISTOPHER TIKUM
Owner/Apn
848-801-9248
Organization Subpart ?
No
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
Enumeration Date
2023-12-20
Last Update Date
2024-08-08
Business Address
KRYSTITE CARE LLC
640 EAGLE ROCK AVE STE 6
WEST ORANGE, NJ 07052-2931
Phone number: 848-801-9248
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Mailing Address
KRYSTITE CARE LLC
28 JOHNSON RD
WEST ORANGE, NJ 07052-3556
Phone number: 848-801-9248
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