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1962040105
SAMANTHA N FANOK
MANASQUAN, NJ
NPI
1962040105
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: NJ 25MP00788600)
Enumeration Date
2019-12-18
Last Update Date
2024-05-17
Business Address
SAMANTHA N FANOK PA-C
2315 ROUTE 34 S
MANASQUAN, NJ 08736-1444
Phone number: 732-974-0404
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Mailing Address
SAMANTHA N FANOK PA-C
2315 ROUTE 34 S
MANASQUAN, NJ 08736-1444
Phone number: 732-974-0404
Copy
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