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1285276220
BROOKE FADNESS
SOUND BEACH, NY
NPI
1285276220
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: NY 001851-1)
Enumeration Date
2019-10-10
Last Update Date
2019-10-10
Business Address
BROOKE FADNESS ATC
4 SHELTER DR
SOUND BEACH, NY 11789-2124
Phone number: 631-384-2871
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Mailing Address
BROOKE FADNESS ATC
4 SHELTER DR
SOUND BEACH, NY 11789-2124
Phone number: 631-384-2871
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