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1124531629
DYLAN JON BAXENDELL
JOHNSTOWN, PA
NPI
1124531629
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: PA RT006195)
Enumeration Date
2017-11-07
Last Update Date
2017-11-07
Business Address
DYLAN JON BAXENDELL MS, LAT, ATC
450 SCHOOLHOUSE RD
JOHNSTOWN, PA 15904-2912
Phone number: 412-992-0936
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Mailing Address
DYLAN JON BAXENDELL MS, LAT, ATC
376 SARATOGA DR
PITTSBURGH, PA 15236-4455
Phone number: 412-992-0936
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