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1609304534
SCOTT RODNEY GALLUP
EAST STROUDSBURG, PA
NPI
1609304534
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist Athletic Trainer
(Licence: PA RT006678)
Enumeration Date
2017-05-23
Last Update Date
2017-05-23
Business Address
MR. SCOTT RODNEY GALLUP LAT, ATC
200 PROSPECT ST
EAST STROUDSBURG, PA 18301-2956
Phone number: 570-422-3211
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Mailing Address
MR. SCOTT RODNEY GALLUP LAT, ATC
PO BOX 333
DELAWARE WATER GAP, PA 18327-0333
Phone number: 570-852-3535
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