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1407373061
JONATHAN MICHAEL LAING
EWING, NJ
NPI
1407373061
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: NJ 25MT195600)
Enumeration Date
2017-08-24
Last Update Date
2017-08-24
Business Address
JONATHAN MICHAEL LAING ATC
2000 PENNINGTON RD
EWING, NJ 08618-1104
Phone number: 609-771-3402
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Mailing Address
JONATHAN MICHAEL LAING ATC
207 MAIN ST
DARBY, PA 19023-2619
Phone number:
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