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1871870055
STACEY L ROSEN
FAIR LAWN, NJ
NPI
1871870055
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: NJ 40QA00231700)
Enumeration Date
2011-11-15
Last Update Date
2011-11-15
Business Address
-- STACEY L ROSEN RPT
8-50 SUSAN PL
FAIR LAWN, NJ 07410-1616
Phone number: 201-797-0051
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Mailing Address
-- STACEY L ROSEN RPT
8-50 SUSAN PL
FAIR LAWN, NJ 07410-1616
Phone number: 201-797-0051
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