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1235252065
LAUREN ILLYA KOHLBERG
WEST ORANGE, NJ
NPI
1235252065
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LP0200X Nurse Practitioner, Pediatrics
(Licence: NJ 26NO12100400)
Enumeration Date
2007-04-08
Last Update Date
2011-06-28
Business Address
Mrs. LAUREN ILLYA KOHLBERG C.P.N.P
1500 PLEASANT VALLEY WAY SUITE 301
WEST ORANGE, NJ 07052-2956
Phone number: 973-243-0002
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Mailing Address
Mrs. LAUREN ILLYA KOHLBERG C.P.N.P
198 ZEPPI LN
WEST ORANGE, NJ 07052-4130
Phone number: 973-736-3690
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