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1336810746
MITCHELL LOUIS VLEMINCKX
BRADFORD, PA
NPI
1336810746
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
Enumeration Date
2021-09-24
Last Update Date
2022-07-01
Business Address
MITCHELL LOUIS VLEMINCKX
20 PEACH ST
BRADFORD, PA 16701-3784
Phone number: 814-598-6325
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Mailing Address
MITCHELL LOUIS VLEMINCKX
20 PEACH ST
BRADFORD, PA 16701-3784
Phone number: 814-598-6325
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