JUSTIN JOSEPH AGUSTINI

HAZLE TOWNSHIP, PA
NPI1043640972
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy2255A2300X Specialist/Technologist Athletic Trainer
(Licence: PA  RTO000178)
Enumeration Date2013-11-13
Last Update Date2013-11-13
Business Address
JUSTIN JOSEPH AGUSTINI LAT
1324 N CHURCH ST
HAZLE TOWNSHIP, PA 18202-9307
Phone number: 570-501-1808
Mailing Address
JUSTIN JOSEPH AGUSTINI LAT
255 MOUNTAIN VIEW DR
NANTICOKE, PA 18634-3603
Phone number: 570-814-7073
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