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1770173700
DANIELA C MALLACK
MONTCLAIR, NJ
NPI
1770173700
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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
2021-01-23
Last Update Date
2021-01-23
Business Address
DANIELA C MALLACK
1 BAY AVE
MONTCLAIR, NJ 07042-4837
Phone number: 973-429-6888
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Mailing Address
DANIELA C MALLACK
1 BAY AVE
MONTCLAIR, NJ 07042-4837
Phone number: 973-429-6888
Copy
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