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Vincent Mazzone, ATC

Specialist/Technologist, Athletic Trainer in Kalamazoo, MI. Individual provider (NPI-1).

NPI number1457744575
StatusActive
Last updated in NPPESMar 22, 2017

Details

NPI
1457744575
Entity type
Individual (NPI-1)
Name
Vincent Mazzone
Credential
ATC
Sex
Male
Sole proprietor
Yes
Enumeration date
Mar 13, 2015
Last updated
Mar 22, 2017

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
2255A2300X Specialist/Technologist, Athletic Trainer––Yes
390200000X Student in an Organized Health Care Education/Training Program––

Practice location

3801 Winchell Ave
Apt 202
Kalamazoo, MI 49008-2038

Phone 630-854-6097

Mailing address

3801 Winchell Ave
Apt 202
Kalamazoo, MI 49008-2038

Phone 630-854-6097

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