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1992308951
CLARENCE GOCON
JERSEY CITY, NJ
NPI
1992308951
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: NJ 26NJ01079600)
Enumeration Date
2020-11-20
Last Update Date
2020-11-20
Business Address
CLARENCE GOCON APN
136 W SIDE AVE
JERSEY CITY, NJ 07305-1317
Phone number: 201-981-2633
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Mailing Address
CLARENCE GOCON APN
136 W SIDE AVE
JERSEY CITY, NJ 07305-1317
Phone number: 201-981-2633
Copy
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