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MYRNA DATILUS

Licensed Practical Nurse

NPI: 1598458184Individual

Specialties, Licenses & Credentials

Licensed Practical NursePrimary

Licensed Practical Nurse

Code: 164W00000X

26NP49551300(NJ)

Contact & Hours

Address
11-15 CLINTON ST APT 6G
NEWARK, NJ 07102

Quick Facts

NPI
1598458184
Entity Type
Individual
Gender
Female
Medicare
Not confirmed
Specialties
1
Locations
1

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