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1417363946
MAXINE AMA BLOHOWIAK
BETHLEHEM, PA
NPI
1417363946
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist Athletic Trainer
Enumeration Date
2014-07-03
Last Update Date
2014-07-03
Business Address
MS. MAXINE AMA BLOHOWIAK ATC
675 E BROAD ST
BETHLEHEM, PA 18018-6332
Phone number: 920-264-2065
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Mailing Address
MS. MAXINE AMA BLOHOWIAK ATC
3171 MOLLY BROWN LN
GREEN BAY, WI 54313-7300
Phone number: 920-264-2065
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