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1386768976
IVAN IVANOV
PITTSBURGH, PA
NPI
1386768976
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: PA RT003999)
Enumeration Date
2007-03-19
Last Update Date
2007-08-30
Business Address
Mr. IVAN IVANOV ATC
3200 S WATER ST UPMC SPORTS MEDICINE
PITTSBURGH, PA 15203-2307
Phone number: 412-432-3770
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Mailing Address
Mr. IVAN IVANOV ATC
2855 ESPY AVE
PITTSBURGH, PA 15216-2119
Phone number: 412-953-2960
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