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1043316698
MARY T MANCUSO
FAIR LAWN, NJ
NPI
1043316698
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: NJ 17835)
Enumeration Date
2006-09-14
Last Update Date
2007-07-08
Business Address
-- MARY T MANCUSO D.M.D.
27-11 PELLACK DR
FAIR LAWN, NJ 07410-3723
Phone number: 201-796-7171
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Mailing Address
-- MARY T MANCUSO D.M.D.
167 GLENWOOD DR
NORTH HALEDON, NJ 07508-3020
Phone number:
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