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1750650859
MARISSA ANNE FANELLI
NEWARK, NJ
NPI
1750650859
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
124Q00000X Dental Hygienist
(Licence: NJ 22HI00901200)
Enumeration Date
2011-12-19
Last Update Date
2011-12-19
Business Address
Ms. MARISSA ANNE FANELLI RDH
741 BROADWAY
NEWARK, NJ 07104-4309
Phone number: 973-483-1300
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Mailing Address
Ms. MARISSA ANNE FANELLI RDH
430 EDGEWOOD PL
RUTHERFORD, NJ 07070-2662
Phone number: 201-562-8844
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