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1477173144
SAMUEL FANN
NEPTUNE, NJ
NPI
1477173144
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
3747A0650X Technician, Attendant Care Provider
Enumeration Date
2020-04-22
Last Update Date
2020-04-22
Business Address
Mr. SAMUEL FANN
214 COTTER AVE
NEPTUNE, NJ 07753-3702
Phone number: 732-682-4272
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Mailing Address
Mr. SAMUEL FANN
214 COTTER AVE
NEPTUNE, NJ 07753-3702
Phone number:
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