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1003937376
TIMOTHY ADAM KULPA
WILKES BARRE, PA
NPI
1003937376
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: PA RT004005)
Enumeration Date
2007-04-03
Last Update Date
2020-06-29
Business Address
Mr. TIMOTHY ADAM KULPA DAT, LAT, ATC
133 N RIVER ST
WILKES BARRE, PA 18711-0800
Phone number: 570-208-5900
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Mailing Address
Mr. TIMOTHY ADAM KULPA DAT, LAT, ATC
133 N RIVER ST
WILKES BARRE, PA 18711-0800
Phone number: 570-208-5900
Copy
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