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1891795514
JOSEPH J LICITRA
BLOOMFIELD, NJ
NPI
1891795514
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
111N00000X Chiropractor
(Licence: NJ 38MC00224400)
Enumeration Date
2005-07-22
Last Update Date
2022-09-16
Business Address
JOSEPH J LICITRA DC
300 BROADACRES DR STE 126
BLOOMFIELD, NJ 07003-3153
Phone number: 973-470-0632
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Mailing Address
JOSEPH J LICITRA DC
300 BROADACRES DR STE 126A
BLOOMFIELD, NJ 07003-3153
Phone number: 973-470-0632
Copy
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