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1811104219
MICHAEL ANTHONY MAVROS
BUTTE, MT
NPI
1811104219
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
Enumeration Date
2007-05-16
Last Update Date
2007-07-08
Business Address
Mr. MICHAEL ANTHONY MAVROS A.T.,C.
1300 W PARK ST
BUTTE, MT 59701-8932
Phone number: 406-496-4296
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Mailing Address
Mr. MICHAEL ANTHONY MAVROS A.T.,C.
PO BOX 3352
BUTTE, MT 59702-3352
Phone number: 406-782-8172
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