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1154148401
KEVIN BRISTER
NEWARK, NJ
NPI
1154148401
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101Y00000X Counselor
(Licence: NJ 37CA00112200)
Enumeration Date
2024-09-26
Last Update Date
2024-09-26
Business Address
Mr. KEVIN BRISTER CADC
461 FRELINGHUYSEN AVE
NEWARK, NJ 07114-1404
Phone number: 973-596-2850
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Mailing Address
Mr. KEVIN BRISTER CADC
461 FRELINGHUYSEN AVE
NEWARK, NJ 07114-1404
Phone number: 973-596-2850
Copy
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