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1730523481
SHAUN MARIE COLAVITA
LAKE HOPATCONG, NJ
NPI
1730523481
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
172V00000X Community Health Worker
(Licence: NJ 40QB00248500)
Enumeration Date
2013-04-24
Last Update Date
2013-04-24
Business Address
Mrs. SHAUN MARIE COLAVITA
319 PROSPECT POINT RD
LAKE HOPATCONG, NJ 07849-1206
Phone number: 862-812-4556
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Mailing Address
Mrs. SHAUN MARIE COLAVITA
319 PROSPECT POINT RD
LAKE HOPATCONG, NJ 07849
Phone number: 862-812-4556
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