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1639209794
ELICIA BENNETT
POTTSTOWN, PA
NPI
1639209794
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: PA RT003709)
Enumeration Date
2007-03-07
Last Update Date
2007-07-08
Business Address
-- ELICIA BENNETT ATC
1008 FALLBROOK LN
POTTSTOWN, PA 19464-1745
Phone number: 610-973-6200
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Mailing Address
-- ELICIA BENNETT ATC
1008 FALLBROOK LN
POTTSTOWN, PA 19464-1745
Phone number: 610-705-0380
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