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1255521670
KENNETH JOSEPH ALBERTA
WAYNESBURG, PA
NPI
1255521670
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist Athletic Trainer
(Licence: PA RT000063A)
Enumeration Date
2007-08-01
Last Update Date
2007-08-01
Business Address
MR. KENNETH JOSEPH ALBERTA ATC
51 W COLLEGE ST
WAYNESBURG, PA 15370-1258
Phone number: 724-852-3295
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Mailing Address
MR. KENNETH JOSEPH ALBERTA ATC
51 W COLLEGE ST
WAYNESBURG, PA 15370-1258
Phone number: 724-852-3295
Copy
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