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1255782587
JOHN EUGENE BISTLINE
HAVERTOWN, PA
NPI
1255782587
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: PA RT006436)
Enumeration Date
2016-06-28
Last Update Date
2016-06-28
Business Address
-- JOHN EUGENE BISTLINE LAT, ATC
501 DARBY RD
HAVERTOWN, PA 19083-4702
Phone number: 610-675-9583
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Mailing Address
-- JOHN EUGENE BISTLINE LAT, ATC
501 DARBY RD
HAVERTOWN, PA 19083-4702
Phone number: 610-675-9583
Copy
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