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1588639355
JESSICA SUE DETTORE
PITTSBURGH, PA
NPI
1588639355
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: PA RT003697)
Enumeration Date
2006-02-22
Last Update Date
2008-12-16
Business Address
-- JESSICA SUE DETTORE ATC, MEd
3200 S WATER ST
PITTSBURGH, PA 15203-2307
Phone number: 412-432-3770
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Mailing Address
-- JESSICA SUE DETTORE ATC, MEd
119 BAYWOOD AVE APT. 7B
PITTSBURGH, PA 15228-1349
Phone number: 724-494-3234
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