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Individual

MS. DEBORAH A SCULLY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPN

Contact information

Practice address
14 CHESTNUT ST, STANHOPE, NJ 07874-3458
(862) 354-0538
Mailing address
PO BOX 293, C/O MIKE HUDAK, BLOOMSBURY, NJ 08804
(862) 354-0538

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
26NP04032900
NJ

Other

Enumeration date
06/18/2007
Last updated
07/08/2007
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