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Individual

THERESE MARCAZO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
108 STIRLING RD, WARREN, NJ 07059-5772
(908) 303-6472
Mailing address
108 STIRLING RD, WARREN, NJ 07059-5772
(908) 303-6472

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
25MT00066900
NJ

Other

Enumeration date
02/27/2013
Last updated
02/27/2013
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