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1144999434
KATIE LYNN MANNINO
ENGLEWOOD, NJ
NPI
1144999434
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: NJ 25MP00638700)
Enumeration Date
2021-09-09
Last Update Date
2021-09-09
Business Address
Ms. KATIE LYNN MANNINO PA
440 CURRY AVE STE A
ENGLEWOOD, NJ 07631-1794
Phone number: 201-227-1299
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Mailing Address
Ms. KATIE LYNN MANNINO PA
204 8TH ST APT 3
HOBOKEN, NJ 07030-4163
Phone number: 732-546-7122
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