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1366962466
JOSEPH L LISELLA
JERSEY CITY, NJ
NPI
1366962466
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: NJ 25MT00229000)
Enumeration Date
2017-06-21
Last Update Date
2017-06-21
Business Address
JOSEPH L LISELLA
144 GRAND ST
JERSEY CITY, NJ 07302-4431
Phone number: 973-907-6428
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Mailing Address
JOSEPH L LISELLA
101 PIER LN
FAIRFIELD, NJ 07004-2110
Phone number: 973-907-6428
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