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1417467036
ZACHARY WYATT FRIED
CALIFORNIA, PA
NPI
1417467036
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: PA RT006737)
Enumeration Date
2017-10-10
Last Update Date
2017-10-10
Business Address
ZACHARY WYATT FRIED ATC
250 UNIVERSITY AVE
CALIFORNIA, PA 15419-1341
Phone number: 724-938-4000
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Mailing Address
ZACHARY WYATT FRIED ATC
66 S SHORE DR
SOUTH AMBOY, NJ 08879-3431
Phone number: 908-577-8006
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