Individual
MAGGIE MAE MANCINI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC, LAT
Contact information
Practice address
20 NORTH ST, DUBLIN, OH 43017-2155
(740) 497-9027
Mailing address
162 WATT ST, CIRCLEVILLE, OH 43113-1747
(740) 497-9027
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT005274
OH
Other
Enumeration date
08/02/2019
Last updated
08/02/2019
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