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1063170793
MICHAEL GAVAGAN
GARDEN CITY, NY
NPI
1063170793
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: NY 000881)
Enumeration Date
2021-11-30
Last Update Date
2021-11-30
Business Address
MICHAEL GAVAGAN MA, ATC
1 SOUTH AVE
GARDEN CITY, NY 11530-4299
Phone number: 516-877-4230
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Mailing Address
MICHAEL GAVAGAN MA, ATC
1 SOUTH AVE
GARDEN CITY, NY 11530-4299
Phone number: 516-877-4230
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