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1487230033
STACEY DAMITO
HACKENSACK, NJ
NPI
1487230033
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2021-03-23
Last Update Date
2022-01-06
Business Address
STACEY DAMITO DO
30 PROSPECT AVE
HACKENSACK, NJ 07601-1915
Phone number: 551-996-4348
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Mailing Address
STACEY DAMITO DO
30 PROSPECT AVE
HACKENSACK, NJ 07601-1915
Phone number: 551-996-4348
Copy
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