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1134406762
LORI GAINES MCCULLOM
CEDAR GROVE, NJ
NPI
1134406762
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
314000000X Skilled Nursing Facility
(Licence: NJ 46TR00355900)
Enumeration Date
2011-11-10
Last Update Date
2011-11-10
Business Address
-- LORI GAINES MCCULLOM OTR
25 E LINDSLEY RD
CEDAR GROVE, NJ 07009-1023
Phone number: 973-256-7220
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Mailing Address
-- LORI GAINES MCCULLOM OTR
25 E LINDSLEY RD
CEDAR GROVE, NJ 07009-1023
Phone number: 973-256-7220
Copy
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