JEFFREY MICHAEL STOUDT

LANCASTER, PA
NPI1295818086
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: PA  RT001361A)
Enumeration Date2006-10-23
Last Update Date2007-07-08
Business Address
-- JEFFREY MICHAEL STOUDT ATC
415 HARRISBURG AVENUE
LANCASTER, PA 17604
Phone number: 717-291-4111
Mailing Address
-- JEFFREY MICHAEL STOUDT ATC
20 HOBSON COURT PO BOX 1006
BROWNSTOWN, PA 17508
Phone number: 717-291-4111
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