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1871744532
MATTHEW RYAN BALE-PENA
BERNARDSVILLE, NJ
NPI
1871744532
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: NJ 25MT00146300)
Enumeration Date
2008-09-30
Last Update Date
2008-09-30
Business Address
Mr. MATTHEW RYAN BALE-PENA ATC, CSCS
25 OLCOTT AVE
BERNARDSVILLE, NJ 07924-2307
Phone number: 908-204-1930
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Mailing Address
Mr. MATTHEW RYAN BALE-PENA ATC, CSCS
7117 COVENTRY CT
RIVERDALE, NJ 07457-1643
Phone number: 973-831-2676
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