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1255678363
BRYCE ANDREW CIANCIO
PHENIX CITY, AL
NPI
1255678363
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: AL 1129)
Enumeration Date
2013-01-09
Last Update Date
2013-01-09
Business Address
Mr. BRYCE ANDREW CIANCIO ATC/L
2400 DOBBS DR
PHENIX CITY, AL 36870-2305
Phone number: 334-298-3626
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Mailing Address
Mr. BRYCE ANDREW CIANCIO ATC/L
5 OAKWOOD DR
PHENIX CITY, AL 36870-4773
Phone number: 334-707-3286
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