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1376565408
JOSE FONSECA
DURHAM, NC
NPI
1376565408
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: NC 1010)
Enumeration Date
2006-07-25
Last Update Date
2007-07-08
Business Address
Mr. JOSE FONSECA M.S., A.T.C.
DUKE UNIVERSITY 118 CAMERON INDOOR STADIUM
DURHAM, NC 27708-0001
Phone number: 919-613-7559
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Mailing Address
Mr. JOSE FONSECA M.S., A.T.C.
221 MORNING VIEW CT
DURHAM, NC 27703-2934
Phone number: 919-596-5221
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