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1043640972
JUSTIN JOSEPH AGUSTINI
HAZLE TOWNSHIP, PA
NPI
1043640972
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: PA RTO000178)
Enumeration Date
2013-11-13
Last Update Date
2013-11-13
Business Address
-- JUSTIN JOSEPH AGUSTINI LAT
1324 N CHURCH ST
HAZLE TOWNSHIP, PA 18202-9307
Phone number: 570-501-1808
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Mailing Address
-- JUSTIN JOSEPH AGUSTINI LAT
255 MOUNTAIN VIEW DR
NANTICOKE, PA 18634-3603
Phone number: 570-814-7073
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