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1801132196
COURTNEY CATHERINE CIVITANO
BROOKLYN, NY
NPI
1801132196
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: NY 001724-1)
Enumeration Date
2012-12-14
Last Update Date
2012-12-14
Business Address
Ms. COURTNEY CATHERINE CIVITANO MS, ATC
1 UNIVERSITY PLZ WRAC
BROOKLYN, NY 11201-5301
Phone number: 718-780-4158
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Mailing Address
Ms. COURTNEY CATHERINE CIVITANO MS, ATC
6525 160TH ST 19D
FRESH MEADOWS, NY 11365-2567
Phone number:
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