Individual
CHERYL LYNN DUBOSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
103 OLD MARLTON PIKE STE 124, MEDFORD, NJ 08055-8772
(888) 575-9162
Mailing address
34 LEBANON RD, BRIDGETON, NJ 08302-6123
(609) 247-9621
Taxonomy
Speciality
Code
Description
License number
State
163WA0400X
Addiction (Substance Use Disorder) Registered Nurse
Primary
26NO09384700
NJ
Other
Enumeration date
08/16/2024
Last updated
08/16/2024
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