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Individual

JENNA KIMMERLE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
535 SYCAMORE AVE, SHREWSBURY, NJ 07702-4224
(732) 741-0970
Mailing address
409 KETTLE CREEK RD APT 3, TOMS RIVER, NJ 08753-1977
(570) 575-5136

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
25MP00592100
NJ

Other

Enumeration date
11/05/2020
Last updated
11/05/2020
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