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1568465656
KELLY M. LAVERDURE
TRENTON, NJ
NPI
1568465656
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Former Name
KELLY M. KIERNAN
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: PA OS013010)
Enumeration Date
2005-05-23
Last Update Date
2012-08-30
Business Address
Dr. KELLY M. LAVERDURE D.O.
750 BRUNSWICK AVE
TRENTON, NJ 19178-8567
Phone number: 609-815-7810
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Mailing Address
Dr. KELLY M. LAVERDURE D.O.
P.O. BOX 8500-8567
PHILADELPHIA, PA 19178-8567
Phone number: 609-815-7887
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