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Individual

LINDA OBIAMAKA OKOSE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
13 BUTTELL AVE, LAKEWOOD, NJ 08701-4704
(732) 939-3041
(732) 930-6027
Mailing address
13 BUTTELL AVE, LAKEWOOD, NJ 08701-4704
(732) 939-3041

Taxonomy

Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
26NJ00729900
NJ
363L00000X
Nurse Practitioner
Primary
26NJ00729900
NJ

Other

Enumeration date
06/09/2017
Last updated
05/11/2024
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