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1689117707
ALFONSE DESANTO
BETHLEHEM, PA
NPI
1689117707
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist Athletic Trainer
(Licence: PA RT006598)
Enumeration Date
2016-11-21
Last Update Date
2016-11-21
Business Address
ALFONSE DESANTO LAT, ATC
2030 HIGHLAND AVE
BETHLEHEM, PA 18020-8963
Phone number: 570-234-7562
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Mailing Address
ALFONSE DESANTO LAT, ATC
2030 HIGHLAND AVENUE
BETHLEHEM, PA 18020
Phone number: 570-234-7562
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