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Individual

JAYNE ROCK-GANGALE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
OT

Contact information

Practice address
194 MONTGOMERY ST, BLOOMFIELD, NJ 07003-4926
(973) 495-8409
(973) 337-5327
Mailing address
194 MONTGOMERY ST, BLOOMFIELD, NJ 07003-4926
(973) 495-8409
(973) 337-5327

Taxonomy

Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
46TR00222200
NJ

Other

Enumeration date
01/07/2017
Last updated
01/07/2017
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