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1295136893
ANGELO BONGIORNO
SAINT LOUIS, MO
NPI
1295136893
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: MO 2014028839)
Enumeration Date
2014-09-15
Last Update Date
2014-09-15
Business Address
-- ANGELO BONGIORNO ATC
1 UNIVERSITY BLVD
SAINT LOUIS, MO 63121-4400
Phone number: 314-516-5686
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Mailing Address
-- ANGELO BONGIORNO ATC
1 UNIVERSITY BLVD
SAINT LOUIS, MO 63121-4400
Phone number: 314-516-5686
Copy
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