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Individual
MS. JACLYN DIANA MORRISSETTE
Active
Individual
MS. JACLYN DIANA MORRISSETTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD, ATC
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
25MT00134900
NJ
Other
Enumeration date
10/21/2016
Last updated
01/12/2021
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