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1033424692
MANUEL M PENTON
MIAMI, FL
NPI
1033424692
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
Enumeration Date
2010-08-06
Last Update Date
2010-08-06
Business Address
-- MANUEL M PENTON ATC
4200 SW 89TH AVE
MIAMI, FL 33165-5336
Phone number: 305-226-8152
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Mailing Address
-- MANUEL M PENTON ATC
11815 SW 51ST ST
MIAMI, FL 33175-5609
Phone number: 305-479-4328
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