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1215440524
DANIEL CERQUERA
WEST PALM BEACH, FL
NPI
1215440524
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: NY 002562)
Enumeration Date
2017-11-08
Last Update Date
2017-11-08
Business Address
-- DANIEL CERQUERA ATC
5454 N HAVERHILL RD
WEST PALM BEACH, FL 33407-3006
Phone number: 718-791-2317
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Mailing Address
-- DANIEL CERQUERA ATC
8-07 WHITESTONE EXPRESSWAY
WHITESTONE, NY 11358
Phone number:
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