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Organization
KINGDOM OASIS HEALTH AND WELLNESS LLC
Active
Organization
KINGDOM OASIS HEALTH AND WELLNESS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GLORIA OLATUBOSUN NP (NURSE PRACTITIONER MENTAL HEALTH)
(551) 275-5674
Entity
Organization
Contact information
Practice address
519 LAKEHURST RD STE 92, BROWNS MILLS, NJ 08015-6000
(551) 275-5674
Mailing address
519 LAKEHURST RD STE 92, BROWNS MILLS, NJ 08015-6000
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
NULL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
02/22/2024
Last updated
06/03/2025
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