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1669247052
JOHN SEIDLE
EAST BRUNSWICK, NJ
NPI
1669247052
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: NJ 25MT00272100)
Enumeration Date
2023-11-16
Last Update Date
2023-11-16
Business Address
JOHN SEIDLE LAT, ATC
150 TICES LN
EAST BRUNSWICK, NJ 08816-2015
Phone number: 732-250-3314
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Mailing Address
JOHN SEIDLE LAT, ATC
212 VOLKERT ST # 2
HIGHLAND PARK, NJ 08904-3119
Phone number: 732-320-0980
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