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1174945125
MICHAEL TRAINER
LAKEWOOD, NJ
NPI
1174945125
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: NJ 41YS00633300)
Enumeration Date
2014-01-10
Last Update Date
2014-01-10
Business Address
-- MICHAEL TRAINER
125 NED DR
LAKEWOOD, NJ 08701-5101
Phone number: 732-363-7937
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Mailing Address
-- MICHAEL TRAINER
125 NED DR
LAKEWOOD, NJ 08701-5101
Phone number: 732-363-7937
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