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1780219410
COURTNEY DESTEFANO
VINELAND, NJ
NPI
1780219410
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: NJ 26NJ01015900)
Enumeration Date
2020-03-03
Last Update Date
2022-03-16
Business Address
COURTNEY DESTEFANO
994 W SHERMAN AVE BLDG 2
VINELAND, NJ 08360-6937
Phone number: 631-534-7246
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Mailing Address
COURTNEY DESTEFANO
834 CHESTNUT ST PH 201
PHILADELPHIA, PA 19107-5147
Phone number: 267-275-7296
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