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1275007585
ELIZABETH POTURALSKI
PHILADELPHIA, PA
NPI
1275007585
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
Enumeration Date
2019-01-20
Last Update Date
2019-01-20
Business Address
ELIZABETH POTURALSKI
3513 BOWMAN ST FL 2
PHILADELPHIA, PA 19129-1510
Phone number: 410-353-5880
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Mailing Address
ELIZABETH POTURALSKI
3513 BOWMAN ST FL 2
PHILADELPHIA, PA 19129-1510
Phone number:
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