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1740600303
SEBASTIAN BALESTRIERE
PITMAN, NJ
NPI
1740600303
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: NJ 25MT00041200)
Enumeration Date
2014-04-22
Last Update Date
2014-04-22
Business Address
Mr. SEBASTIAN BALESTRIERE ATC
614 LAMBS RD
PITMAN, NJ 08071-2000
Phone number: 856-248-7191
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Mailing Address
Mr. SEBASTIAN BALESTRIERE ATC
614 LAMBS RD
PITMAN, NJ 08071-2000
Phone number: 856-248-7191
Copy
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