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1013450790
ELISSA TILL
JOHNSTOWN, PA
NPI
1013450790
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: PA RT003873)
Enumeration Date
2016-11-29
Last Update Date
2016-11-29
Business Address
-- ELISSA TILL ATC
450 SCHOOLHOUSE RD
JOHNSTOWN, PA 15904-2912
Phone number: 814-269-2024
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Mailing Address
-- ELISSA TILL ATC
216 MIDWAY DR
JOHNSTOWN, PA 15905-3829
Phone number: 814-242-8797
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