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1306593637
BEN JOHN POTENZIANO
MIAMI, FL
NPI
1306593637
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: FL 6159)
Enumeration Date
2022-03-07
Last Update Date
2022-03-07
Business Address
BEN JOHN POTENZIANO ATC
501 MARLINS WAY
MIAMI, FL 33125-1121
Phone number: 305-480-1300
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Mailing Address
BEN JOHN POTENZIANO ATC
501 MARLINS WAY
MIAMI, FL 33125-1121
Phone number: 415-297-8486
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