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Individual

STEPHANIE GERVATO-FAUVER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1070 W LANDIS AVE, VINELAND, NJ 08360-3422
(856) 690-0200
Mailing address
78 W PARK AVE, STE 1, VINELAND, NJ 08360-3560

Taxonomy

Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
Primary
25MG00122900
NJ

Other

Enumeration date
09/28/2012
Last updated
09/28/2012
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