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1396152856
JONATHAN MARQUES
SANTA CLARA, CA
NPI
1396152856
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist Athletic Trainer
Enumeration Date
2014-07-16
Last Update Date
2014-07-16
Business Address
JONATHAN MARQUES ATC
2303 MISSION GLEN DR
SANTA CLARA, CA 95051-1214
Phone number: 408-836-0167
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Mailing Address
JONATHAN MARQUES ATC
2303 MISSION GLEN DR
SANTA CLARA, CA 95051-1214
Phone number: 408-836-0167
Copy
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