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MR. STEPAN STAFFEN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LMT

Contact information

Practice address
25 N FULLERTON AVE, MONTCLAIR, NJ 07042-3435
(732) 207-6866
Mailing address
47 UNION ST APT 403, MONTCLAIR, NJ 07042-3360
(732) 207-6866

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
26BT00249400
NJ

Other

Enumeration date
07/18/2011
Last updated
07/18/2011
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