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1831666841
DANIELLE DEFOTO
OAKHURST, NJ
NPI
1831666841
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363A00000X Physician Assistant
(Licence: NJ 25MP00510700)
Enumeration Date
2018-10-28
Last Update Date
2024-04-26
Business Address
Miss DANIELLE DEFOTO PA
1912 STATE ROUTE 35 STE 101
OAKHURST, NJ 07755-2768
Phone number: 732-222-4762
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Mailing Address
Miss DANIELLE DEFOTO PA
105 RAIDER BLVD STE 101
HILLSBOROUGH, NJ 08844-1528
Phone number: 908-281-0221
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