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1194937334
KATHY ANN ENNIS
NEWARK, NJ
NPI
1194937334
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LA2100X Nurse Practitioner Acute Care
(Licence: NJ 26NN04996000)
Enumeration Date
2007-05-03
Last Update Date
2007-07-08
Business Address
MS. KATHY ANN ENNIS APN
150 BERGEN ST
NEWARK, NJ 07103-2496
Phone number: 973-972-6205
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Mailing Address
MS. KATHY ANN ENNIS APN
27 LAWRENCE DR
BERKELEY HEIGHTS, NJ 07922-1254
Phone number: 201-841-0520
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