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1548717325
MICAH CAMILLE TALUSAN BALUYOT
JERSEY CITY, NJ
NPI
1548717325
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: NJ 25MT00229100)
Enumeration Date
2016-09-08
Last Update Date
2016-09-08
Business Address
-- MICAH CAMILLE TALUSAN BALUYOT ATC
325 DANFORTH AVE APT 1B
JERSEY CITY, NJ 07305-1928
Phone number: 551-208-3763
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Mailing Address
-- MICAH CAMILLE TALUSAN BALUYOT ATC
325 DANFORTH AVE APT 1B
JERSEY CITY, NJ 07305-1928
Phone number: 551-208-3763
Copy
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