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1669701264
BRIAN D FANNING
HACKETTSTOWN, NJ
NPI
1669701264
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: NJ 25MT00122800)
Enumeration Date
2009-12-11
Last Update Date
2009-12-11
Business Address
Mr. BRIAN D FANNING MS, ACI, ATC
22 WOOD DUCK CT
HACKETTSTOWN, NJ 07840-3312
Phone number: 973-229-6280
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Mailing Address
Mr. BRIAN D FANNING MS, ACI, ATC
22 WOOD DUCK CT
HACKETTSTOWN, NJ 07840-3312
Phone number: 973-229-6280
Copy
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