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Individual
SELAMI KOCH
Active
Individual
SELAMI KOCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
26NJ01342400
NJ
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
26NJ01342400
NJ
Other
Enumeration date
07/12/2022
Last updated
04/23/2024
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