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1366742330
JUSTIN ROBERT DEFONSO
MCKEESPORT, PA
NPI
1366742330
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101Y00000X Counselor
Enumeration Date
2010-10-25
Last Update Date
2010-10-25
Business Address
Mr. JUSTIN ROBERT DEFONSO MS
421 PASADENA DR
MCKEESPORT, PA 15133-3615
Phone number: 412-480-8683
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Mailing Address
Mr. JUSTIN ROBERT DEFONSO MS
421 PASADENA DR
MCKEESPORT, PA 15133-3615
Phone number: 412-480-8683
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