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1174291058
KELLY TAXERAS
HACKENSACK, NJ
NPI
1174291058
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LA2200X Nurse Practitioner Adult Health
(Licence: NJ 26NJ01194000)
Enumeration Date
2021-09-03
Last Update Date
2023-02-02
Business Address
KELLY TAXERAS DNP
92 2ND ST
HACKENSACK, NJ 07601-2191
Phone number: 551-996-5900
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Mailing Address
KELLY TAXERAS DNP
31 BRANDYWINE PL
OAKLAND, NJ 07436-2313
Phone number: 201-669-0792
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