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1316339500
KAITLYN GROSSMAN
SUCCASUNNA, NJ
NPI
1316339500
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: VA 0126002173)
Enumeration Date
2015-02-24
Last Update Date
2015-02-24
Business Address
-- KAITLYN GROSSMAN
20 REGER RD
SUCCASUNNA, NJ 07876-1073
Phone number: 973-584-8829
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Mailing Address
-- KAITLYN GROSSMAN
20 REGER RD
SUCCASUNNA, NJ 07876-1073
Phone number: 973-584-8829
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