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1326284142
TERESA ELIZABETH BORDIUK
WEST LONG BRANCH, NJ
NPI
1326284142
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: NJ 25MT00012700)
Enumeration Date
2008-12-29
Last Update Date
2008-12-29
Business Address
Mrs. TERESA ELIZABETH BORDIUK ATC
400 CEDAR AVE.
WEST LONG BRANCH, NJ 07764-1308
Phone number: 732-571-1634
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Mailing Address
Mrs. TERESA ELIZABETH BORDIUK ATC
1000 BROADWAY
WEST LONG BRANCH, NJ 07764-1308
Phone number: 732-571-1634
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