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1003195595
DENNIS ANTHONY VICIDOMINI
LANCASTER, PA
NPI
1003195595
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: PA RT001392A)
Enumeration Date
2011-08-15
Last Update Date
2011-08-15
Business Address
Mr. DENNIS ANTHONY VICIDOMINI A.T.,C.
1905 SPLIT ROCK RD
LANCASTER, PA 17601-6421
Phone number: 717-898-5515
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Mailing Address
Mr. DENNIS ANTHONY VICIDOMINI A.T.,C.
1905 SPLIT ROCK RD
LANCASTER, PA 17601-6421
Phone number: 717-898-5515
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