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1124336961
RACHAEL ELISE WADDLE
EAST STROUDSBURG, PA
NPI
1124336961
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist Athletic Trainer
(Licence: PA RT004770)
Enumeration Date
2010-09-14
Last Update Date
2010-09-14
Business Address
RACHAEL ELISE WADDLE ATC
200 PROSPECT ST
EAST STROUDSBURG, PA 18301-2956
Phone number: 570-422-3165
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Mailing Address
RACHAEL ELISE WADDLE ATC
11732 E 1020 LN
MOUNT CARMEL, IL 62863-4711
Phone number:
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