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1508302043
ALEXIS AYALA
NEW YORK, NY
NPI
1508302043
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: NY 003313)
Enumeration Date
2017-01-09
Last Update Date
2017-01-09
Business Address
-- ALEXIS AYALA ATC
210 W 91ST ST
NEW YORK, NY 10024-1304
Phone number: 646-964-4305
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Mailing Address
-- ALEXIS AYALA ATC
170 ROEBLING ST
BROOKLYN, NY 11211-4415
Phone number: 585-415-4203
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