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1174025118
DANIEL CAMILLONE
MORGANTOWN, WV
NPI
1174025118
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: NY 003149)
Enumeration Date
2018-03-06
Last Update Date
2018-03-06
Business Address
DANIEL CAMILLONE
375 BIRCH ST
MORGANTOWN, WV 26505-3418
Phone number: 914-483-8967
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Mailing Address
DANIEL CAMILLONE
39 HOLLY HILL DR
WINGDALE, NY 12594-1314
Phone number:
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