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1467172205
KYLE WILLIAM CANAVALLY
BROCKPORT, NY
NPI
1467172205
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: NY 004413)
Enumeration Date
2022-08-31
Last Update Date
2022-08-31
Business Address
Mr. KYLE WILLIAM CANAVALLY ATC.
350 NEW CAMPUS DR
BROCKPORT, NY 14420-2914
Phone number: 585-395-5374
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Mailing Address
Mr. KYLE WILLIAM CANAVALLY ATC.
350 NEW CAMPUS DR
BROCKPORT, NY 14420-2914
Phone number: 585-395-5374
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