GEOFRY D. MANZO

BELLEVILLE, IL
NPI1427024926
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: IL  096-001849)
Additional Taxonomies2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: MO  2000152721)
Enumeration Date2006-02-24
Last Update Date2007-07-08
Business Address
Mr. GEOFRY D. MANZO ATC
301 W LINCOLN ST SUITE 210
BELLEVILLE, IL 62220-1901
Phone number: 618-641-5800
Mailing Address
Mr. GEOFRY D. MANZO ATC
3002 CELEBRATION PARK CIRCLE
BELLEVILLE, IL 62220
Phone number:
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