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1811328339
JOSEPH BENTIVOGLIO
MEDIA, PA
NPI
1811328339
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: PA RT005612)
Enumeration Date
2013-12-09
Last Update Date
2013-12-09
Business Address
-- JOSEPH BENTIVOGLIO ATC
6 BRINTON AVE
MEDIA, PA 19063-4810
Phone number: 484-574-6005
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Mailing Address
-- JOSEPH BENTIVOGLIO ATC
6 BRINTON AVENUE
MEDIA, PA 19063
Phone number: 484-574-6005
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