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Individual

MRS. CHERYL ETH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RN

Contact information

Practice address
2 PARK AVE, DUMONT, NJ 07628-3004
(201) 385-4400
(201) 384-7067
Mailing address
2 PARK AVE, DUMONT, NJ 07628-3004
(201) 385-4400
(201) 384-7067

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
NR94751
NJ

Other

Enumeration date
03/19/2007
Last updated
07/08/2007
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