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1821702754
JAN BRUINS
PISCATAWAY, NJ
NPI
1821702754
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: NJ 25mt00223100)
Enumeration Date
2023-01-05
Last Update Date
2023-01-05
Business Address
JAN BRUINS
1 SCARLET KNIGHT WAY
PISCATAWAY, NJ 08854-8069
Phone number: 609-284-7782
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Mailing Address
JAN BRUINS
161 N 13TH AVE
MANVILLE, NJ 08835-1169
Phone number:
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