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1558868018
MARIO GENCARELLI
CEDAR KNOLLS, NJ
NPI
1558868018
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: NJ 25MT00239500)
Enumeration Date
2018-04-11
Last Update Date
2018-04-11
Business Address
MARIO GENCARELLI ATC
188 RIDGEDALE AVE
CEDAR KNOLLS, NJ 07927-1811
Phone number: 973-951-3557
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Mailing Address
MARIO GENCARELLI ATC
188 RIDGEDALE AVE
CEDAR KNOLLS, NJ 07927-1811
Phone number:
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