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1598161077
LUIS ALICEA
BRONX, NY
NPI
1598161077
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist Athletic Trainer
(Licence: NY 2000018995)
Enumeration Date
2014-11-12
Last Update Date
2014-11-12
Business Address
LUIS ALICEA ATC
2869 BAINBRIDGE AVE APT 2C
BRONX, NY 10458-2830
Phone number: 718-584-8633
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Mailing Address
LUIS ALICEA ATC
2869 BAINBRIDGE AVE APT 2C
BRONX, NY 10458-2830
Phone number: 718-584-8633
Copy
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