TIMOTHY JOHN FUGATE

LITITZ, PA
NPI1508478421
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: PA  RTO000456)
Enumeration Date2020-08-21
Last Update Date2020-08-21
Business Address
TIMOTHY JOHN FUGATE
51 PETERS RD STE 200
LITITZ, PA 17543-7685
Phone number: 717-627-7675
Mailing Address
TIMOTHY JOHN FUGATE
113 COUNTRY SIDE LN
LEOLA, PA 17540-1647
Phone number:
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