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JACQUELINE KALIS BOHANKO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
2099 NEW ALBANY RD, CINNAMINSON, NJ 08077-3534
(099) 268-8996
(856) 772-1997
Mailing address
2099 NEW ALBANY RD, CINNAMINSON, NJ 08077-3534
(609) 926-8899
(856) 772-1997

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
25MP00879200
NJ
363AM0700X
Medical Physician Assistant
Primary
MA053571
PA

Other

Enumeration date
09/09/2008
Last updated
09/17/2024
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