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1639783699
ANGEL LOUIS LAZU
STATE COLLEGE, PA
NPI
1639783699
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: PA RT007381)
Enumeration Date
2020-09-06
Last Update Date
2020-09-06
Business Address
ANGEL LOUIS LAZU ATC
276 RECREATION BLDG # 147D
STATE COLLEGE, PA 16802-5701
Phone number: 814-867-0478
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Mailing Address
ANGEL LOUIS LAZU ATC
501 VAIRO BLVD APT 1112
STATE COLLEGE, PA 16803
Phone number: 267-394-0822
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