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1063475028
JODY RENEE PREISCHE
LOCK HAVEN, PA
NPI
1063475028
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: PA RT003269)
Enumeration Date
2006-04-10
Last Update Date
2007-07-08
Business Address
Ms. JODY RENEE PREISCHE ATC
401 N FAIRVIEW ST
LOCK HAVEN, PA 17745-2342
Phone number: 570-893-2704
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Mailing Address
Ms. JODY RENEE PREISCHE ATC
204 S FAIRVIEW ST
LOCK HAVEN, PA 17745-2808
Phone number: 570-748-0243
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