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1356508865
ROMAN EVANGELISTA
EGG HARBOR TOWNSHIP, NJ
NPI
1356508865
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2008-05-21
Last Update Date
2008-05-21
Business Address
-- ROMAN EVANGELISTA
6010 BLACK HORSE PIKE
EGG HARBOR TOWNSHIP, NJ 08234-9752
Phone number: 609-272-8580
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Mailing Address
-- ROMAN EVANGELISTA
PO BOX 1086
PLEASANTVILLE, NJ 08232-6086
Phone number: 609-272-8580
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