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Individual

KYLIE HUBENY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
ATC

Contact information

Practice address
400 CEDAR AVENUE, WEST LONG BRANCH, NJ 07764
(732) 263-4473
Mailing address
101 E MOUNT AVE, ATLANTIC HIGHLANDS, NJ 07716-1368

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
25MT00213300
NJ

Other

Enumeration date
12/14/2016
Last updated
12/14/2016
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