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Individual
GALE BORNKAMP
Active
Individual
GALE BORNKAMP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APN
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
26NN06057300
NJ
363LA2200X
Adult Health Nurse Practitioner
304638
NY
Other
Enumeration date
06/15/2007
Last updated
09/14/2010
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