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Individual

GINA DEHMER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
1722 NEWMAN ST, LAKE COMO, NJ 07719-3065
(973) 271-7871
Mailing address
1722 NEWMAN ST, LAKE COMO, NJ 07719-3065

Taxonomy

Speciality
Code
Description
License number
State
133NN1002X
Nutrition Education Nutritionist
163W00000X
Registered Nurse
Primary
26NR12676700
NJ
163WI0500X
Infusion Therapy Registered Nurse
26NR12676700
NJ
163WI0500X
Infusion Therapy Registered Nurse
679756-1
NY

Other

Enumeration date
12/04/2014
Last updated
12/04/2014
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