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Individual

DEAN A LUPO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.C.

Contact information

Practice address
786 KING GEORGE RD, FORDS, NJ 08863-1929
(732) 738-8044
Mailing address
786 KING GEORGE RD, FORDS, NJ 08863-1929
(732) 738-8044

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
MC003820
NJ

Other

Enumeration date
04/18/2007
Last updated
07/08/2007
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