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1790233245
MITCHELL ALEXANDER HOLLAND
PHILADELPHIA, PA
NPI
1790233245
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: PA RT005616)
Enumeration Date
2016-09-13
Last Update Date
2016-09-13
Business Address
-- MITCHELL ALEXANDER HOLLAND ATC
5600 CITY AVE
PHILADELPHIA, PA 19131-1308
Phone number: 248-410-2922
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Mailing Address
-- MITCHELL ALEXANDER HOLLAND ATC
2630 W CHESTER PIKE APT F3
BROOMALL, PA 19008-2125
Phone number: 248-410-2922
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