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1932327350
KIMBERLY MICHELLE MAHAN
BURLINGTON, NJ
NPI
1932327350
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: NJ 26NP05767000)
Enumeration Date
2007-04-23
Last Update Date
2007-07-08
Business Address
-- KIMBERLY MICHELLE MAHAN LPN
261 CONNECTICUT DR SUITE 5
BURLINGTON, NJ 08016-4177
Phone number: 800-950-6066
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Mailing Address
-- KIMBERLY MICHELLE MAHAN LPN
1636 42ND ST
PENNSAUKEN, NJ 08110-3607
Phone number: 856-831-9220
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