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1033627518
KENISHA MCLENNON
DENVILLE, NJ
NPI
1033627518
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner Family
(Licence: NJ 26NJ00772600)
Enumeration Date
2018-01-18
Last Update Date
2018-02-23
Business Address
KENISHA MCLENNON
276 E MAIN ST
DENVILLE, NJ 07834-2646
Phone number: 973-664-2391
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Mailing Address
KENISHA MCLENNON
186 JACOBY ST UNIT A
MAPLEWOOD, NJ 07040-3306
Phone number: 862-205-1371
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