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1477336998
CHRISSELLE KIM
ENGLEWOOD, NJ
NPI
1477336998
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LG0600X Nurse Practitioner, Gerontology
(Licence: NJ 26NJ14901100)
Enumeration Date
2023-08-17
Last Update Date
2024-05-23
Business Address
CHRISSELLE KIM AGNP-C
350 ENGLE ST FL 6
ENGLEWOOD, NJ 07631-1808
Phone number: 201-568-5250
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Mailing Address
CHRISSELLE KIM AGNP-C
428B 10TH ST
PALISADES PARK, NJ 07650-2323
Phone number: 917-969-0347
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