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1073350351
SAMANTHA RUSSOMANO
MONTCLAIR, NJ
NPI
1073350351
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
133V00000X Dietitian, Registered
(Licence: NJ 86378698)
Enumeration Date
2024-07-12
Last Update Date
2024-07-12
Business Address
Mrs. SAMANTHA RUSSOMANO RDN
51 S PARK ST APT 302
MONTCLAIR, NJ 07042-2753
Phone number: 862-703-9379
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Mailing Address
Mrs. SAMANTHA RUSSOMANO RDN
51 S PARK ST APT 302
MONTCLAIR, NJ 07042-2753
Phone number: 862-703-9379
Copy
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