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1508930421
MARK DANIEL GROTZINGER
LEWISBURG, PA
NPI
1508930421
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist Athletic Trainer
(Licence: PA RT003823)
Enumeration Date
2006-11-20
Last Update Date
2019-09-19
Business Address
MR. MARK DANIEL GROTZINGER ATC, PES
KENNETH LANGONE SPORTS MEDICINE CENTER ONE DENT DR.
LEWISBURG, PA 17837
Phone number: 814-418-0514
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Mailing Address
MR. MARK DANIEL GROTZINGER ATC, PES
104 HAWTHORNE DR
LEWISBURG, PA 17837-6659
Phone number: 814-418-0514
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