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1003665019
IAVANA PARKER
HOWELL, NJ
NPI
1003665019
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: NJ 25MT00217400)
Enumeration Date
2024-05-14
Last Update Date
2024-05-14
Business Address
IAVANA PARKER ATC
74 WESTERN DR
HOWELL, NJ 07731-2736
Phone number: 848-459-9817
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Mailing Address
IAVANA PARKER ATC
74 WESTERN DR
HOWELL, NJ 07731-2736
Phone number:
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