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Individual
ALEXANDRA GRACE CANTELMO
Active
Individual
ALEXANDRA GRACE CANTELMO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
VMD
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
29VI00676600
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
29VI00676600
NJ VETERINARY LICENSE
NJ
Enumeration date
10/26/2019
Last updated
10/26/2019
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