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1366976417
STEPHANE MYRTELE LAGUERRE
GREEN BROOK, NJ
NPI
1366976417
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
283Q00000X Psychiatric Hospital
(Licence: NJ 26NJ00706000)
Enumeration Date
2017-04-16
Last Update Date
2017-04-16
Business Address
STEPHANE MYRTELE LAGUERRE
275 GREENBROOK RD
GREEN BROOK, NJ 08812-2223
Phone number: 732-968-6000
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Mailing Address
STEPHANE MYRTELE LAGUERRE
33 MOUNTAIN WAY
WEST ORANGE, NJ 07052-3737
Phone number: 347-276-4930
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