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Individual

PAIGE MANGIERO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ATC LAT

Contact information

Practice address
1733 W GIRARD AVE, PHILADELPHIA, PA 19130-1513
(215) 978-1972
Mailing address
1719 DEWES ST, GLENVIEW, IL 60025-4301

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary

Other

Enumeration date
02/03/2015
Last updated
04/18/2022
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