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1932169851
SUSAN ELIZABETH MINIELLO
FAYETTEVILLE, NC
NPI
1932169851
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: NC 0892)
Enumeration Date
2006-03-24
Last Update Date
2007-07-08
Business Address
-- SUSAN ELIZABETH MINIELLO ATC
5400 RAMSEY ST
FAYETTEVILLE, NC 28311-1420
Phone number: 910-630-7597
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Mailing Address
-- SUSAN ELIZABETH MINIELLO ATC
5559 LINKWOOD DR
FAYETTEVILLE, NC 28311-0287
Phone number: 910-987-1696
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