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1881385797
STEPHANIE CARMEN CUSTODIO
BRIDGETON, NJ
NPI
1881385797
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Former Name
STEPHANIE CARMEN VELEZ
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: NJ 26NP04816700)
Enumeration Date
2023-05-19
Last Update Date
2023-05-19
Business Address
STEPHANIE CARMEN CUSTODIO
25 E BROAD ST
BRIDGETON, NJ 08302-2503
Phone number: 856-459-2402
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Mailing Address
STEPHANIE CARMEN CUSTODIO
1026 FALCON WAY
VINELAND, NJ 08360-4469
Phone number: 609-805-6509
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