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Individual

KRYSTAL LYNN GOULA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APN

Contact information

Practice address
65 W JIMMIE LEEDS RD, POMONA, NJ 08240-9102
(609) 652-1000
Mailing address
65 W JIMMIE LEEDS RD, POMONA, NJ 08240-9102
(609) 652-1000

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
26NR18214800
NJ
363LF0000X
Family Nurse Practitioner
Primary
26NJ14911600
NJ

Other

Enumeration date
11/22/2022
Last updated
10/15/2024
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