Individual
KHALIF DUBOSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MS LAT ATC
Contact information
Practice address
1133 LIVINGSTON AVE APT 9, NORTH BRUNSWICK, NJ 08902-3807
(732) 470-7309
Mailing address
1133 LIVINGSTON AVE APT 9, NORTH BRUNSWICK, NJ 08902-3807
(732) 470-7309
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
25MT00303800
NJ
Other
Enumeration date
03/16/2022
Last updated
03/16/2022
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