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Individual

JASON SIMMONS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LAT, ATC

Contact information

Practice address
200 S ORANGE AVE, LIVINGSTON, NJ 07039-5817
(973) 322-7503
Mailing address
200 S ORANGE AVE, LIVINGSTON, NJ 07039-5817

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
25MT0024700
NJ

Other

Enumeration date
02/11/2020
Last updated
02/11/2020
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