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1083884506
MELINDA MAE BRENNER
LONG BRANCH, NJ
NPI
1083884506
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: NJ 25MT00086300)
Enumeration Date
2008-03-12
Last Update Date
2008-03-12
Business Address
-- MELINDA MAE BRENNER ATC, CSCS
364 WESTWOOD AVE UNIT 48
LONG BRANCH, NJ 07740-5565
Phone number: 732-233-5796
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Mailing Address
-- MELINDA MAE BRENNER ATC, CSCS
364 WESTWOOD AVE UNIT 48
LONG BRANCH, NJ 07740-5565
Phone number: 732-233-5796
Copy
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