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1972256931
DANIELA COSTANZO
WEST ORANGE, NJ
NPI
1972256931
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: NJ 25MT00282700)
Enumeration Date
2022-01-31
Last Update Date
2022-01-31
Business Address
DANIELA COSTANZO LAT, ATC
622 EAGLE ROCK AVE
WEST ORANGE, NJ 07052-2994
Phone number: 973-380-0922
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Mailing Address
DANIELA COSTANZO LAT, ATC
125 GATES AVE APT 35
MONTCLAIR, NJ 07042-2536
Phone number:
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