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Individual

MS. MICHELE M DEMARTINO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ATC

Contact information

Practice address
235 MILLBURN AVE, SUITE 102, MILLBURN, NJ 07041-1738
(973) 258-1177
(973) 258-8181
Mailing address
235 MILLBURN AVE, SUITE 102, MILLBURN, NJ 07041-1738
(973) 258-1177
(973) 258-8181

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary

Other

Enumeration date
10/18/2011
Last updated
11/21/2011
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