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1497923825
NICOLE DESTEFANO
UNIONTOWN, PA
NPI
1497923825
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: PA RT003808)
Enumeration Date
2008-02-19
Last Update Date
2008-02-19
Business Address
-- NICOLE DESTEFANO ATC
300 BAILEY AVE
UNIONTOWN, PA 15401-2461
Phone number: 814-327-1188
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Mailing Address
-- NICOLE DESTEFANO ATC
3200 S WATER ST
PITTSBURGH, PA 15203-2307
Phone number:
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