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Individual
MR. VINCENT MARINO
Active
Individual
MR. VINCENT MARINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
PT0003734
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PT0003734
LICENSE
FL
Enumeration date
04/06/2007
Last updated
07/08/2007
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