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1457088700
JESSICA TAYLOR DEDOMENICO
BRICK, NJ
NPI
1457088700
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: NJ 25MT00307100)
Enumeration Date
2022-08-05
Last Update Date
2022-08-05
Business Address
JESSICA TAYLOR DEDOMENICO MS,LAT, ATC
110 CARTAGENA DR
BRICK, NJ 08723-7005
Phone number: 609-495-5899
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Mailing Address
JESSICA TAYLOR DEDOMENICO MS,LAT, ATC
457 CR-64
BRICK, NJ 08724
Phone number: 732-800-9000
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