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1043626211
KIM DOVALO
NEWARK, NJ
NPI
1043626211
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: NJ 26NJ00484100)
Enumeration Date
2014-07-08
Last Update Date
2016-04-07
Business Address
-- KIM DOVALO
90 BERGEN ST STE 8100
NEWARK, NJ 07103-2425
Phone number: 973-972-2897
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Mailing Address
-- KIM DOVALO
90 BERGEN ST STE 8100
NEWARK, NJ 07103-2425
Phone number: 973-972-2897
Copy
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