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1679775506
CARL ADRIAN PAYNE
BLOOMFIELD, NJ
NPI
1679775506
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: NJ 25MT00112000)
Enumeration Date
2007-06-04
Last Update Date
2007-07-08
Business Address
Mr. CARL ADRIAN PAYNE A.T.C.
467 FRANKLIN ST
BLOOMFIELD, NJ 07003-3425
Phone number: 973-748-9000
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Mailing Address
Mr. CARL ADRIAN PAYNE A.T.C.
144 MOUNTAINSIDE DR
POMPTON LAKES, NJ 07442-1757
Phone number: 973-616-4872
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