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1457727554
SAMANTHA KOLIBAS
MONTCLAIR, NJ
NPI
1457727554
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: NJ 25MT00206900)
Enumeration Date
2015-08-12
Last Update Date
2015-08-12
Business Address
-- SAMANTHA KOLIBAS ATC, LAT
49 CLAREMONT AVE
MONTCLAIR, NJ 07042-4854
Phone number: 973-680-8390
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Mailing Address
-- SAMANTHA KOLIBAS ATC, LAT
1360 CLIFTON AVE # 345
CLIFTON, NJ 07012-1453
Phone number: 973-928-3590
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