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1164193926
BETHANY VIVO-PELLICCIA
MONTCLAIR, NJ
NPI
1164193926
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225700000X Massage Therapist
(Licence: NY 012059)
Enumeration Date
2021-09-22
Last Update Date
2021-09-22
Business Address
BETHANY VIVO-PELLICCIA
11 PINE ST APT 214
MONTCLAIR, NJ 07042-4373
Phone number: 973-988-3755
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Mailing Address
BETHANY VIVO-PELLICCIA
11 PINE ST APT 214
MONTCLAIR, NJ 07042-4373
Phone number: 973-988-3755
Copy
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