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Individual

MRS. NORA V MCCORMICK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
ATC

Contact information

Practice address
132 MONMOUTH PARK HWY, SHORE REGIONAL HIGH SCHOOL, WEST LONG BRANCH, NJ 07764-1305
(732) 222-9300
(732) 222-1212
Mailing address
132 MONMOUTH PARK HWY, SHORE REGIONAL HIGH SCHOOL, WEST LONG BRANCH, NJ 07764-1305
(732) 222-9300
(732) 222-1212

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
25MT00109700
NJ

Other

Enumeration date
12/03/2007
Last updated
12/03/2007
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