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1225460454
DIANA ROSE LARREA
STRATFORD, NJ
NPI
1225460454
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
207Q00000X Family Medicine
(Licence: NJ 25MB09743200)
Enumeration Date
2013-07-30
Last Update Date
2020-03-18
Business Address
Dr. DIANA ROSE LARREA D.O.
42 E LAUREL RD SUITE 2100A
STRATFORD, NJ 08084-1354
Phone number: 856-566-6477
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Mailing Address
Dr. DIANA ROSE LARREA D.O.
116 WRIGHT AVE APT. L97
STRATFORD, NJ 08084-1100
Phone number: 740-856-2214
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