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1841409380
MICHAEL JOSEPH VAILLANCOURT
HACKENSACK, NJ
NPI
1841409380
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
(Licence: NJ 00425288)
Enumeration Date
2007-05-22
Last Update Date
2007-07-08
Business Address
Mr. MICHAEL JOSEPH VAILLANCOURT MSW, Ed.M.
385 PROSPECT AVE
HACKENSACK, NJ 07601-2570
Phone number: 201-487-1390
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Mailing Address
Mr. MICHAEL JOSEPH VAILLANCOURT MSW, Ed.M.
10 CAMEO CT
FRANKLIN PARK, NJ 08823-1603
Phone number: 732-940-8992
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