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1033756234
TIERRA SHOPE
CLARION, PA
NPI
1033756234
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: PA RT007012)
Enumeration Date
2019-12-06
Last Update Date
2019-12-06
Business Address
TIERRA SHOPE ATC
840 WOOD ST
CLARION, PA 16214-1232
Phone number: 814-393-2102
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Mailing Address
TIERRA SHOPE ATC
918 SCHOFIELD ST
CURWENSVILLE, PA 16833-1551
Phone number: 814-553-1663
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