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1003300260
KENNY LAURENT
BLOOMFIELD, NJ
NPI
1003300260
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
Enumeration Date
2018-06-20
Last Update Date
2018-06-20
Business Address
KENNY LAURENT
345 HOOVER AVE
BLOOMFIELD, NJ 07003-3918
Phone number: 954-892-3489
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Mailing Address
KENNY LAURENT
345 HOOVER AVE
BLOOMFIELD, NJ 07003-3918
Phone number:
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