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1235680547
JACLYN DIANA MORRISSETTE
WAYNE, NJ
NPI
1235680547
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist Athletic Trainer
(Licence: NJ 25MT00134900)
Enumeration Date
2016-10-21
Last Update Date
2021-01-12
Business Address
MS. JACLYN DIANA MORRISSETTE PHD, ATC
300 POMPTON RD
WAYNE, NJ 07470-2103
Phone number: 973-720-2105
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Mailing Address
MS. JACLYN DIANA MORRISSETTE PHD, ATC
94 BROADWAY
WEST MILFORD, NJ 07480-4320
Phone number: 845-430-5411
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