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1194939652
PHYLLIS MCKIERNAN
HACKENSACK, NJ
NPI
1194939652
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LA2200X Nurse Practitioner, Adult Health
(Licence: NJ 26NJ00034600)
Enumeration Date
2007-05-10
Last Update Date
2007-07-08
Business Address
Mrs. PHYLLIS MCKIERNAN RN, APN-C
20 PROSPECT AVE STE 400
HACKENSACK, NJ 07601-1941
Phone number: 201-996-5832
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Mailing Address
Mrs. PHYLLIS MCKIERNAN RN, APN-C
14 MANNING RD
PARAMUS, NJ 07652-1800
Phone number: 201-251-6474
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