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1720601818
SEAN MANDLE
GRAND RAPIDS, MI
NPI
1720601818
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: MI 2601001011)
Enumeration Date
2020-05-22
Last Update Date
2020-05-22
Business Address
SEAN MANDLE ATC
213 CALKINS AVE SE
GRAND RAPIDS, MI 49506-1519
Phone number: 616-902-4384
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Mailing Address
SEAN MANDLE ATC
213 CALKINS AVE SE
GRAND RAPIDS, MI 49506-1519
Phone number:
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