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1700615374
MIGUEL CERVANTES
COLUMBIA, SC
NPI
1700615374
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist Athletic Trainer
Enumeration Date
2024-07-31
Last Update Date
2024-07-31
Business Address
MIGUEL CERVANTES
139 S MARION ST
COLUMBIA, SC 29205
Phone number: 956-205-3087
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Mailing Address
MIGUEL CERVANTES
3917 CALLE PUEBLA
LAREDO, TX 78046-6052
Phone number: 956-205-3087
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