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1194373233
MARK GILDARD
POUGHKEEPSIE, NY
NPI
1194373233
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist Athletic Trainer
(Licence: NY 001688)
Enumeration Date
2019-09-02
Last Update Date
2019-09-02
Business Address
MARK GILDARD
3399 NORTH RD
POUGHKEEPSIE, NY 12601-1387
Phone number: 845-575-3000
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Mailing Address
MARK GILDARD
41 HAVILAND RD
POUGHKEEPSIE, NY 12601-6613
Phone number: 914-204-0051
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