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Mark Mancebo
NPI 1891936449 · on the registry since 2009 · sole proprietor
Practice
- Address
- 429 N. Church Street
Spartanburg, SC 29303 - Phone
- (864) 597-4458
- Fax
- (864) 597-4484
- Organisation at this address
- Wofford College
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 11
Registry record
- Primary taxonomy
- Athletic Trainer
2255A2300X
- Licence states on file
- SC
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2009-03-11
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 South Carolina