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1225544018
MICHAEL R BIBBO
PHILADELPHIA, PA
NPI
1225544018
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: PA RTO000092)
Enumeration Date
2017-12-16
Last Update Date
2017-12-16
Business Address
MICHAEL R BIBBO MS, LAT, ATC, CES
2450 N 54TH ST
PHILADELPHIA, PA 19131-1309
Phone number: 610-517-9043
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Mailing Address
MICHAEL R BIBBO MS, LAT, ATC, CES
518 SPRING MILL AVE
CONSHOHOCKEN, PA 19428-1950
Phone number: 610-517-9043
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