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1598990491
MINDY SUE WALLICK
LANCASTER, PA
NPI
1598990491
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: PA RT004450)
Enumeration Date
2009-05-20
Last Update Date
2009-10-30
Business Address
Ms. MINDY SUE WALLICK MS, ATC
2125 NOLL DR
LANCASTER, PA 17603-7606
Phone number: 717-380-7000
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Mailing Address
Ms. MINDY SUE WALLICK MS, ATC
61 BRENNER ST
MILLERSVILLE, PA 17551-1411
Phone number: 717-380-7000
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