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1124335146
SHAWN MALYSZ
LINCROFT, NJ
NPI
1124335146
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: NJ 25MT00160400)
Enumeration Date
2010-09-13
Last Update Date
2010-09-13
Business Address
-- SHAWN MALYSZ
850 NEWMAN SPRINGS RD
LINCROFT, NJ 07738-1608
Phone number: 732-747-1959
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Mailing Address
-- SHAWN MALYSZ
850 NEWMAN SPRINGS RD
LINCROFT, NJ 07738-1608
Phone number: 732-747-1959
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