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1295818086
JEFFREY MICHAEL STOUDT
LANCASTER, PA
NPI
1295818086
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: PA RT001361A)
Enumeration Date
2006-10-23
Last Update Date
2007-07-08
Business Address
-- JEFFREY MICHAEL STOUDT ATC
415 HARRISBURG AVENUE
LANCASTER, PA 17604
Phone number: 717-291-4111
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Mailing Address
-- JEFFREY MICHAEL STOUDT ATC
20 HOBSON COURT PO BOX 1006
BROWNSTOWN, PA 17508
Phone number: 717-291-4111
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