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Individual

MS. SUSAN LA BAGNARA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
A.P.N.

Contact information

Practice address
150 BERGEN ST, F342, NEWARK, NJ 07103-2496
(973) 972-0658
(973) 972-1340
Mailing address
150 BERGEN ST, F342, NEWARK, NJ 07103-2496
(973) 972-0658
(973) 972-1340

Taxonomy

Speciality
Code
Description
License number
State
364SP0200X
Pediatric Clinical Nurse Specialist
Primary
26NC05172800
NJ

Other

Enumeration date
01/03/2011
Last updated
01/03/2011
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