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1023548757
RICARDO RAFAEL SQUILLANTINI
NEWPORT NEWS, VA
NPI
1023548757
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
Enumeration Date
2017-06-15
Last Update Date
2017-06-15
Business Address
RICARDO RAFAEL SQUILLANTINI ATC
1 AVENUE OF THE ARTS
NEWPORT NEWS, VA 23606-3072
Phone number: 609-865-5586
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Mailing Address
RICARDO RAFAEL SQUILLANTINI ATC
15 ABERDEEN ST APT 4
BOSTON, MA 02215-3863
Phone number:
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