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Individual
MISS SUZANNE BARBA
Active
Individual
MISS SUZANNE BARBA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC, EMT
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
25MT00000500
NJ
Other
Enumeration date
08/14/2006
Last updated
11/30/2008
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