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1992154132
JENNIFER LYNN FARESTAD
BRIDGETON, NJ
NPI
1992154132
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LA2200X Nurse Practitioner, Adult Health
(Licence: NJ 26NJ00621700)
Enumeration Date
2016-06-08
Last Update Date
2022-10-21
Business Address
JENNIFER LYNN FARESTAD AGNP-C
30 NORTH PEARL STREET
BRIDGETON, NJ 08302
Phone number: 609-790-6866
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Mailing Address
JENNIFER LYNN FARESTAD AGNP-C
30 NORTH PEARL STREET
BRIDGETON, NJ 08302
Phone number: 609-790-6866
Copy
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