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1427233527
KEVIN WEISBACH
JERSEY CITY, NJ
NPI
1427233527
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: NJ 25MT00141900)
Enumeration Date
2008-01-08
Last Update Date
2008-01-08
Business Address
Mr. KEVIN WEISBACH MS, ATC
2641 KENNEDY BLVD
JERSEY CITY, NJ 07306-5943
Phone number: 201-761-7326
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Mailing Address
Mr. KEVIN WEISBACH MS, ATC
2641 KENNEDY BLVD
JERSEY CITY, NJ 07306-5943
Phone number:
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