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Individual

MRS. JANET RANDALL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
A.P.N.

Contact information

Practice address
1581 ROUTE 23, SUITE 1, WAYNE, NJ 07470-7508
(973) 809-0432
Mailing address
26 ORANGE PLACE, WAYNE, NJ 07470-9991
(973) 809-0432

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
26NJ00336500
NJ

Other

Enumeration date
03/29/2012
Last updated
03/29/2012
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