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1205496874
JANINE GLASS
CORAM, NY
NPI
1205496874
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: NY 002741)
Enumeration Date
2019-06-17
Last Update Date
2019-06-17
Business Address
JANINE GLASS MS, ATC
340 WOODLAND CT
CORAM, NY 11727-3625
Phone number: 631-839-3297
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Mailing Address
JANINE GLASS MS, ATC
340 WOODLAND CT
CORAM, NY 11727-3625
Phone number: 631-839-3297
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