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1285742700
ROBERT K DESTEFANO
TOMS RIVER, NJ
NPI
1285742700
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
Enumeration Date
2006-08-25
Last Update Date
2007-07-08
Business Address
Mr. ROBERT K DESTEFANO ATC
711 HOOPER AVE
TOMS RIVER, NJ 08753-7716
Phone number: 734-349-8801
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Mailing Address
Mr. ROBERT K DESTEFANO ATC
553 MARTIN RD
TOMS RIVER, NJ 08753-6067
Phone number: 732-506-6491
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