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1245231646
STEPHEN Y FANOUS
EAST BRUNSWICK, NJ
NPI
1245231646
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Primary Taxonomy
122300000X Dentist
(Licence: NJ 14091)
Enumeration Date
2005-08-09
Last Update Date
2007-07-08
Business Address
DR. STEPHEN Y FANOUS DDS
59 BRUNSWICK WOODS DR
EAST BRUNSWICK, NJ 08816-5601
Phone number: 732-238-3883
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Mailing Address
DR. STEPHEN Y FANOUS DDS
59 BRUNSWICK WOODS DR
EAST BRUNSWICK, NJ 08816-5601
Phone number: 732-238-3883
Copy
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