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1467970087
CHARITY MARLENE LONGSTRETH
BEAVER FALLS, PA
NPI
1467970087
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: PA RT006396)
Enumeration Date
2017-09-04
Last Update Date
2017-09-04
Business Address
CHARITY MARLENE LONGSTRETH LAT, ATC
3200 COLLEGE AVENUE
BEAVER FALLS, PA 15010
Phone number: 724-847-5008
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Mailing Address
CHARITY MARLENE LONGSTRETH LAT, ATC
74 RIVIERA DRIVE
NEW CUMBERLAND, WV 26047
Phone number: 724-777-0480
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