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1790319499
ANGELINA M DOMENA
ITHACA, NY
NPI
1790319499
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist Athletic Trainer
Enumeration Date
2020-03-03
Last Update Date
2020-03-03
Business Address
ANGELINA M DOMENA
953 DANBY RD
ITHACA, NY 14850-7002
Phone number: 607-274-3011
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Mailing Address
ANGELINA M DOMENA
138 LINCOLN AVE
WADDINGTON, NY 13694-3100
Phone number: 315-388-4299
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