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Individual

SHENCY JACOB

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
66 WHITE BEECHES DR, DUMONT, NJ 07628-1408
(201) 338-4840
Mailing address
66 WHITE BEECHES DR, DUMONT, NJ 07628-1408
(201) 338-4840

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
26NR12412700
NJ

Other

Enumeration date
07/08/2015
Last updated
07/08/2015
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