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1023421542
KIM SMALL
LONG BRANCH, NJ
NPI
1023421542
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: NJ 25MT00187400)
Enumeration Date
2014-06-03
Last Update Date
2015-03-09
Business Address
-- KIM SMALL ATC
404 INDIANA AVE ATHLETICS DEPARTMENT
LONG BRANCH, NJ 07740-6122
Phone number: 732-229-7300
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Mailing Address
-- KIM SMALL ATC
404 INDIANA AVE ATHLETICS DEPARTMENT
LONG BRANCH, NJ 07740-6122
Phone number: 732-229-7300
Copy
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