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1881002848
KYLE BROSTRAND
PISCATAWAY, NJ
NPI
1881002848
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: NJ 25MT00198700)
Enumeration Date
2014-07-23
Last Update Date
2017-12-08
Business Address
KYLE BROSTRAND A.T.C.
1 SCARLET KNIGHT WAY
PISCATAWAY, NJ 08854-8069
Phone number: 609-330-2926
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Mailing Address
KYLE BROSTRAND A.T.C.
1 SCARLET KNIGHT WAY
PISCATAWAY, NJ 08854-8069
Phone number: 732-445-6272
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