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1336917822
KATY MIERTA
WAYNE, NJ
NPI
1336917822
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: NJ 26NJ14973700)
Enumeration Date
2023-12-14
Last Update Date
2023-12-14
Business Address
KATY MIERTA APN
300 POMPTON RD
WAYNE, NJ 07470-2103
Phone number: 732-840-3537
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Mailing Address
KATY MIERTA APN
123 SANDRA PL
BRICK, NJ 08724-7041
Phone number: 732-840-3537
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