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1992254940
CHAKIA FANIEL
NEWARK, NJ
NPI
1992254940
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: NJ 26NJ00643000)
Enumeration Date
2016-09-30
Last Update Date
2016-09-30
Business Address
-- CHAKIA FANIEL
22 SETON HALL DR
NEWARK, NJ 07103-6009
Phone number: 732-207-2863
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Mailing Address
-- CHAKIA FANIEL
22 SETON HALL DR
NEWARK, NJ 07103-6009
Phone number:
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