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1942891072
PETER STATUE
SEWELL, NJ
NPI
1942891072
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
156F00000X Technician/Technologist
(Licence: NJ 28RW00820400)
Enumeration Date
2021-02-01
Last Update Date
2021-02-01
Business Address
PETER STATUE PhTC
500 EGG HARBOR RD
SEWELL, NJ 08080-2336
Phone number: 856-256-7812
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Mailing Address
PETER STATUE PhTC
340 CHRISTINA LN
WILLIAMSTOWN, NJ 08094-3600
Phone number: 856-889-8670
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