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1396872297
MARISSA M MUCCIO
WAYNE, NJ
NPI
1396872297
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
174400000X Specialist
(Licence: NJ PT40QA00794200)
Enumeration Date
2007-02-27
Last Update Date
2007-07-08
Business Address
Mr. MARISSA M MUCCIO PT
309 BLACK OAK RIDGE RD
WAYNE, NJ 07470-6504
Phone number: 973-692-9072
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Mailing Address
Mr. MARISSA M MUCCIO PT
309 BLACK OAK RIDGE RD
WAYNE, NJ 07470-6504
Phone number: 973-692-9072
Copy
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