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1104193077
CODY MASON HERBERT
ITHACA, NY
NPI
1104193077
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: NY 002075-1)
Enumeration Date
2011-11-21
Last Update Date
2011-11-21
Business Address
-- CODY MASON HERBERT MS, ATC
512 CAMPUS RD. TEAGLE HALL
ITHACA, NY 14850
Phone number: 607-255-4237
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Mailing Address
-- CODY MASON HERBERT MS, ATC
110 W MARSHALL ST APT 2
ITHACA, NY 14850-3546
Phone number: 973-903-7663
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