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1104536663
ALEXANDRA ROQUE
FREEHOLD, NJ
NPI
1104536663
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: NJ 25MT00334400)
Enumeration Date
2022-11-24
Last Update Date
2024-09-24
Business Address
ALEXANDRA ROQUE ATC
210 MOUNTS CORNER DR
FREEHOLD, NJ 07728-2547
Phone number: 732-538-8561
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Mailing Address
ALEXANDRA ROQUE ATC
2-22 BANTA PL
FAIR LAWN, NJ 07410-3058
Phone number: 201-509-8600
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