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1912009465
VENITA CARLO PRUDENTI
PARSIPPANY, NJ
NPI
1912009465
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: NJ 25MT00033700)
Enumeration Date
2006-09-04
Last Update Date
2007-07-08
Business Address
-- VENITA CARLO PRUDENTI ATC
20 RITA DR
PARSIPPANY, NJ 07054-3820
Phone number: 973-682-2815
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Mailing Address
-- VENITA CARLO PRUDENTI ATC
6 PETER DR
HACKETTSTOWN, NJ 07840-4659
Phone number:
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