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1386682557
JACLYN BROOKE STANLEY
STATE COLLEGE, PA
NPI
1386682557
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: PA RT002377A)
Enumeration Date
2006-06-02
Last Update Date
2007-07-08
Business Address
-- JACLYN BROOKE STANLEY M.S., ATC
101 REGENT CT
STATE COLLEGE, PA 16801-7965
Phone number: 814-231-2101
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Mailing Address
-- JACLYN BROOKE STANLEY M.S., ATC
914 SOUTHGATE DR APT. 2
STATE COLLEGE, PA 16801-4391
Phone number:
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