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1326804840
ALYSSA DESTEFANO
HACKENSACK, NJ
NPI
1326804840
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: CT 12009)
Enumeration Date
2024-02-22
Last Update Date
2024-02-22
Business Address
ALYSSA DESTEFANO
30 PROSPECT AVE
HACKENSACK, NJ 07601-1915
Phone number: 551-996-2000
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Mailing Address
ALYSSA DESTEFANO
30 PROSPECT AVE
HACKENSACK, NJ 07601-1915
Phone number:
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