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1629271135
186 FAIRFIELD ROAD LLC
FAIRFIELD, NJ
NPI
1629271135
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Entity Type
Organization
Authorized Contact
LEN M RUSSO
Chiropractic
973-227-3388
Organization Subpart ?
No
Primary Taxonomy
111N00000X Chiropractor
(Licence: NJ 4005)
Enumeration Date
2007-06-11
Last Update Date
2009-07-17
Business Address
186 FAIRFIELD ROAD LLC
186 FAIRFIELD RD
FAIRFIELD, NJ 07004-2423
Phone number: 973-227-3388
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Mailing Address
186 FAIRFIELD ROAD LLC
39 JOHN ST
FAIRFIELD, NJ 07004-1438
Phone number: 973-227-3388
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