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Individual

ALICE MARIE KEENAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APN

Contact information

Practice address
5045 ROUTE 130, SUITE F, DELRAN, NJ 08075-9707
(856) 461-1717
(856) 461-1143
Mailing address
1020 LAUREL OAK RD, SUITE 201, VOORHEES, NJ 08043-3518
(856) 782-3300
(856) 504-8029

Taxonomy

Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
26NN06694700
NJ

Other

Enumeration date
04/19/2007
Last updated
07/08/2007
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