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1003599937
ALEXIS TARANTOLA
MATAWAN, NJ
NPI
1003599937
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
104100000X Social Worker
(Licence: NJ 44SL06998200)
Enumeration Date
2023-08-08
Last Update Date
2023-08-08
Business Address
ALEXIS TARANTOLA
166 MAIN ST
MATAWAN, NJ 07747-3104
Phone number: 732-290-9040
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Mailing Address
ALEXIS TARANTOLA
166 MAIN ST
MATAWAN, NJ 07747-3104
Phone number: 732-290-9040
Copy
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