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1730510207
ANAIS MIXSON
MAYS LANDING, NJ
NPI
1730510207
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: NJ 25MT00151000)
Enumeration Date
2013-12-09
Last Update Date
2013-12-09
Business Address
-- ANAIS MIXSON ATC
4438 YORKTOWN PL
MAYS LANDING, NJ 08330
Phone number: 732-673-9907
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Mailing Address
-- ANAIS MIXSON ATC
4438 YORKTOWN PL
MAYS LANDING, NJ 08330-2703
Phone number: 732-673-9907
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