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1497043996
STEPAN STAFFEN
MONTCLAIR, NJ
NPI
1497043996
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225700000X Massage Therapist
(Licence: NJ 26BT00249400)
Enumeration Date
2011-07-18
Last Update Date
2011-07-18
Business Address
Mr. STEPAN STAFFEN LMT
25 N FULLERTON AVE
MONTCLAIR, NJ 07042-3435
Phone number: 732-207-6866
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Mailing Address
Mr. STEPAN STAFFEN LMT
47 UNION ST APT 403
MONTCLAIR, NJ 07042-3360
Phone number: 732-207-6866
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