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1679066351
KEVIN MICHAEL SHUBOW
FLORHAM PARK, NJ
NPI
1679066351
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: VA 0126002826)
Enumeration Date
2018-06-07
Last Update Date
2018-06-07
Business Address
KEVIN MICHAEL SHUBOW ATC, LAT
1 JETS DR
FLORHAM PARK, NJ 07932-1215
Phone number: 973-549-4703
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Mailing Address
KEVIN MICHAEL SHUBOW ATC, LAT
1 JETS DR
FLORHAM PARK, NJ 07932-1215
Phone number:
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