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Individual
MR. WOODY JONATHAN ROSALES
Active
Individual
MR. WOODY JONATHAN ROSALES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APN
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
26NJ00611500
NJ
363L00000X
Nurse Practitioner
26NR11472300
NJ
363LF0000X
Family Nurse Practitioner
26NJ00611500
NJ
Other
Enumeration date
12/29/2015
Last updated
02/10/2022
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