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1265833859
KELLY CANTISANO
EWING, NJ
NPI
1265833859
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
364SP0809X Clinical Nurse Specialist, Psych/Mental Health, Adult
(Licence: NJ 26NJ00005800)
Enumeration Date
2014-09-15
Last Update Date
2014-09-15
Business Address
-- KELLY CANTISANO
830 BEAR TAVERN RD MEDOP BEHAVIORAL HEALTH ASSOCIATES OF NJ PC
EWING, NJ 08628-1020
Phone number: 973-800-2655
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Mailing Address
-- KELLY CANTISANO
830 BEAR TAVERN RD MEDOP BEHAVIORAL HEALTH ASSOCIATES OF NJ PC
EWING, NJ 08628-1020
Phone number:
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