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1891936449
MARK WILLIAM MANCEBO
SPARTANBURG, SC
NPI
1891936449
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: SC 965)
Enumeration Date
2009-03-11
Last Update Date
2009-03-11
Business Address
Mr. MARK WILLIAM MANCEBO
429 N. CHURCH STREET
SPARTANBURG, SC 29303
Phone number: 864-597-4458
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Mailing Address
Mr. MARK WILLIAM MANCEBO
608 N. BROWN BEAVER COURT
MOORE, SC 29369
Phone number: 828-399-0032
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