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1871231720
KELLY A DONALD
SUMMIT, NJ
NPI
1871231720
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LP0808X Nurse Practitioner Psychiatric/Mental Health
(Licence: NJ 26NJ01312600)
Enumeration Date
2022-05-20
Last Update Date
2022-05-20
Business Address
KELLY A DONALD APN
99 BEAUVOIR AVE
SUMMIT, NJ 07901-3533
Phone number: 908-522-2000
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Mailing Address
KELLY A DONALD APN
10 DEPOT PL
BASKING RIDGE, NJ 07920-1703
Phone number: 973-219-2391
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