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1902653447
LISA PETOFF MAIROWITZ
AVON BY THE SEA, NJ
NPI
1902653447
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
126800000X Dental Assistant
(Licence: NJ 22DP00650600)
Enumeration Date
2024-05-02
Last Update Date
2024-05-02
Business Address
LISA PETOFF MAIROWITZ
514 GARFIELD AVE
AVON BY THE SEA, NJ 07717-1157
Phone number: 732-775-1492
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Mailing Address
LISA PETOFF MAIROWITZ
514 GARFIELD AVE
AVON BY THE SEA, NJ 07717-1157
Phone number: 732-775-1492
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