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1083688733
CHRIS VISTA CARDONA
MONTGOMERY, AL
NPI
1083688733
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: VA 0126000191)
Enumeration Date
2006-02-16
Last Update Date
2011-10-18
Business Address
Mr. CHRIS VISTA CARDONA ATC
464 SAINT LUKES DR
MONTGOMERY, AL 36117-7104
Phone number: 334-262-6009
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Mailing Address
Mr. CHRIS VISTA CARDONA ATC
464 SAINT LUKES DR
MONTGOMERY, AL 36117-7104
Phone number: 334-262-6009
Copy
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