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1437796869
MICHAEL J MARINACCIO
STATEN ISLAND, NY
NPI
1437796869
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist Athletic Trainer
Enumeration Date
2019-12-04
Last Update Date
2019-12-04
Business Address
MICHAEL J MARINACCIO
18 ZEPHYR AVE
STATEN ISLAND, NY 10312-5823
Phone number: 917-374-1779
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Mailing Address
MICHAEL J MARINACCIO
18 ZEPHYR AVE
STATEN ISLAND, NY 10312-5823
Phone number: 917-374-1779
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