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Individual

TAMMY G OWENS-DUNMORE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
15 LESLIE ST, NEWARK, NJ 07108-1009
(973) 444-5906
Mailing address
167 S 6TH ST, NEWARK, NJ 07103-2408
(973) 444-5906
(908) 325-0359

Taxonomy

Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary

Other

Enumeration date
10/30/2023
Last updated
10/30/2023
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