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1093978579
STEPHANIE LYNN PAVESE
LANDING, NJ
NPI
1093978579
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
172V00000X Community Health Worker
(Licence: NJ 46TR00276100)
Enumeration Date
2008-07-06
Last Update Date
2008-07-06
Business Address
Mrs. STEPHANIE LYNN PAVESE MS, OTR/L
143 LANDING RD
LANDING, NJ 07850-1507
Phone number: 973-770-7077
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Mailing Address
Mrs. STEPHANIE LYNN PAVESE MS, OTR/L
12 BROAD AVE
STANHOPE, NJ 07874-3412
Phone number: 973-426-1046
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