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Sean Mandle, ATC
NPI 1720601818 · on the registry since 2020 · sole proprietor
Practice
- Address
- 213 Calkins Ave Se
Grand Rapids, MI 49506 - Phone
- (616) 902-4384
Registry record
- Primary taxonomy
- Athletic Trainer
2255A2300X
- Licence states on file
- MI
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2020-05-22
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Michigan