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1053689109
ANGELA V. FORMAZ
ALLENTOWN, PA
NPI
1053689109
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: PA RT003528)
Enumeration Date
2011-12-05
Last Update Date
2011-12-05
Business Address
-- ANGELA V. FORMAZ MS, ATC
250 CETRONIA RD
ALLENTOWN, PA 18104-9147
Phone number: 610-973-6200
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Mailing Address
-- ANGELA V. FORMAZ MS, ATC
1045 N WAHNETA ST
ALLENTOWN, PA 18109-1668
Phone number:
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