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1336513241
ANTHONY VIDALI
DOVER, DE
NPI
1336513241
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
Enumeration Date
2015-11-17
Last Update Date
2016-12-13
Business Address
-- ANTHONY VIDALI LAT, ATC
642 S QUEEN ST SUITE 101
DOVER, DE 19904-3506
Phone number: 302-724-6344
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Mailing Address
-- ANTHONY VIDALI LAT, ATC
109 CEDAR LN
CAMDEN, DE 19934-1306
Phone number: 815-529-9064
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