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1104448117
BRANDON VINCENT MAZZA
PITTSBURGH, PA
NPI
1104448117
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: PA RT004358)
Enumeration Date
2020-05-13
Last Update Date
2020-05-13
Business Address
BRANDON VINCENT MAZZA
2409 SHADY AVE
PITTSBURGH, PA 15217-2409
Phone number: 412-529-4800
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Mailing Address
BRANDON VINCENT MAZZA
2526 HUNTING RIDGE TRL
BRIDGEVILLE, PA 15017-1612
Phone number:
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