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1619498334
BRYAN ALLEN MIZELL
MEDIA, PA
NPI
1619498334
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
Enumeration Date
2017-07-03
Last Update Date
2017-07-03
Business Address
BRYAN ALLEN MIZELL
324 CRESTVIEW CIRCLE
MEDIA, PA 19063
Phone number: 484-680-3790
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Mailing Address
BRYAN ALLEN MIZELL
324 CRESTVIEW CIR
MEDIA, PA 19063-1737
Phone number:
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