MARK ANTHONY PATATAG MIRANDA

BRIDGEPORT, CT
NPI1720846959
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
Enumeration Date2024-03-12
Last Update Date2024-03-12
Business Address
MARK ANTHONY PATATAG MIRANDA
65 WEDGEWOOD PL
BRIDGEPORT, CT 06606-1927
Phone number: 323-365-4549
Mailing Address
MARK ANTHONY PATATAG MIRANDA
65 WEDGEWOOD PL
BRIDGEPORT, CT 06606-1927
Phone number:
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