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1104102722
DANIEL JARVIS
PRINCETON, NJ
NPI
1104102722
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: NJ 25MT00143100)
Enumeration Date
2011-10-27
Last Update Date
2011-10-27
Business Address
Mr. DANIEL JARVIS
172 NASSAU ST APT. 5
PRINCETON, NJ 08542-7002
Phone number: 203-521-6611
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Mailing Address
Mr. DANIEL JARVIS
172 NASSAU ST APT. 5
PRINCETON, NJ 08542-7002
Phone number:
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