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1821532250
KIMBERLY JANE LAKE
NEW YORK, NY
NPI
1821532250
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: NY 341106)
Enumeration Date
2016-12-03
Last Update Date
2016-12-03
Business Address
-- KIMBERLY JANE LAKE N.P.
250 W 89TH ST APARTMENT 11F
NEW YORK, NY 10024-1700
Phone number: 917-533-8301
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Mailing Address
-- KIMBERLY JANE LAKE N.P.
250 W 89TH ST APARTMENT 11F
NEW YORK, NY 10024-1700
Phone number: 917-533-8301
Copy
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ABBY STUTHERS, PSYCHIATRIC NP, PLLC