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1861075392
KATHRYN JULIA BACCI
STATEN ISLAND, NY
NPI
1861075392
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363A00000X Physician Assistant
Enumeration Date
2021-05-03
Last Update Date
2021-05-03
Business Address
KATHRYN JULIA BACCI
1 CAMPUS RD
STATEN ISLAND, NY 10301-4479
Phone number: 718-420-4160
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Mailing Address
KATHRYN JULIA BACCI
2 CROSSWICKS RD
FREEHOLD, NJ 07728-3009
Phone number: 908-217-5681
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