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1720117922
THOMAS IANNETTA
BEACHWOOD, OH
NPI
1720117922
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: OH AT-292)
Enumeration Date
2007-03-05
Last Update Date
2007-07-08
Business Address
-- THOMAS IANNETTA ATC, CSCS
26001 S WOODLAND RD
BEACHWOOD, OH 44122-3367
Phone number: 216-378-6240
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Mailing Address
-- THOMAS IANNETTA ATC, CSCS
PO BOX 46404
BEDFORD, OH 44146-0404
Phone number:
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