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1104214741
PHIL PAVILIONIS
RENO, NV
NPI
1104214741
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: NV 0506045)
Enumeration Date
2015-01-06
Last Update Date
2015-01-06
Business Address
-- PHIL PAVILIONIS MS, LAT, ATC, CSCS
395 BOOTH ST
RENO, NV 89509-1318
Phone number: 775-232-4694
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Mailing Address
-- PHIL PAVILIONIS MS, LAT, ATC, CSCS
395 BOOTH ST
RENO, NV 89509-1318
Phone number: 775-333-5050
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