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Individual

MISS OLESYA ILASHUK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
870 PALISADE AVE STE 302, TEANECK, NJ 07666-3446
(201) 836-9696
Mailing address
109 RIVER ST, EAST RUTHERFORD, NJ 07073-1602
(973) 855-7040

Taxonomy

Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
26NJ00924400
NJ

Other

Enumeration date
06/17/2019
Last updated
06/17/2019
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