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Individual

JAMIE LEE GROVE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LPN

Contact information

Practice address
5034 ATLANTIC AVE, MAYS LANDING, NJ 08330-2022
(609) 782-0005
Mailing address
6466 DEHIRSCH AVE, MAYS LANDING, NJ 08330-3527
(609) 287-8919

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
26NP49709200
NJ

Other

Enumeration date
10/31/2023
Last updated
10/31/2023
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