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1023367661
CHAD ALAN WENTZ
BETHLEHEM, PA
NPI
1023367661
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist Athletic Trainer
(Licence: PA RT003491)
Enumeration Date
2012-08-29
Last Update Date
2012-08-29
Business Address
MR. CHAD ALAN WENTZ ATC
2030 HIGHLAND AVE C/O JEN RODER
BETHLEHEM, PA 18020-8963
Phone number: 610-393-9371
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Mailing Address
MR. CHAD ALAN WENTZ ATC
2030 HIGHLAND AVE C/O JEN RODER
BETHLEHEM, PA 18020-8963
Phone number: 610-393-9371
Copy
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