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1053851253
MARISSA DIAN MASON
BRIDGEPORT, WV
NPI
1053851253
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
Enumeration Date
2017-03-07
Last Update Date
2017-03-07
Business Address
-- MARISSA DIAN MASON ATC
364 RIDGEWAY DR
BRIDGEPORT, WV 26330-1276
Phone number: 304-641-1699
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Mailing Address
-- MARISSA DIAN MASON ATC
364 RIDGEWAY DR
BRIDGEPORT, WV 26330-1276
Phone number: 304-641-1699
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