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1245684570
VINCENT PAUL DELVALLE
EAST LANSING, MI
NPI
1245684570
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist Athletic Trainer
(Licence: MI 2601001340)
Enumeration Date
2016-04-23
Last Update Date
2020-06-15
Business Address
VINCENT PAUL DELVALLE ATC
223 KALAMAZOO ST STE 106
EAST LANSING, MI 48824-5400
Phone number: 517-884-7378
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Mailing Address
VINCENT PAUL DELVALLE ATC
223 KALAMAZOO ST STE 106
EAST LANSING, MI 48824-5400
Phone number: 517-884-7378
Copy
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