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1205389772
KIMI SUDHIR SHAH
CLIFTON, NJ
NPI
1205389772
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: NJ 26NJ00657600)
Enumeration Date
2016-08-01
Last Update Date
2017-03-14
Business Address
Ms. KIMI SUDHIR SHAH
137 HADDENFIELD RD
CLIFTON, NJ 07013-3907
Phone number: 973-510-3809
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Mailing Address
Ms. KIMI SUDHIR SHAH
1 CLARA MAASS DR
BELLEVILLE, NJ 07109-3550
Phone number: 973-450-2448
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