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Individual
MICHAEL JOHN MAINOLFI
Active
Individual
MICHAEL JOHN MAINOLFI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
0400002520
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00028306
BLUE CROSS BLUE SHIELD VT
—
01
—
43430
MVP
—
01
—
7026628
AETNA
—
05
—
OVN2146
—
VT
Enumeration date
08/11/2006
Last updated
01/02/2009
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