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1013677251
DAYSJIA BLACK
HACKENSACK, NJ
NPI
1013677251
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: NJ 25MT00250700)
Enumeration Date
2021-12-29
Last Update Date
2021-12-29
Business Address
DAYSJIA BLACK ATC
135 1ST ST
HACKENSACK, NJ 07601-2423
Phone number: 201-646-7900
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Mailing Address
DAYSJIA BLACK ATC
22 CRESCENT AVE
JERSEY CITY, NJ 07304-2812
Phone number:
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