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1083331813
PAUL LAWRENCE RUSSOMANNO
WOODBURY, NJ
NPI
1083331813
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101Y00000X Counselor
(Licence: NJ 37AC00533900)
Enumeration Date
2022-10-24
Last Update Date
2024-06-27
Business Address
PAUL LAWRENCE RUSSOMANNO LAC
1 LUPTON AVE
WOODBURY, NJ 08096-5901
Phone number: 973-886-9213
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Mailing Address
PAUL LAWRENCE RUSSOMANNO LAC
1 LUPTON AVE
WOODBURY, NJ 08096-5901
Phone number: 856-693-5775
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