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1710264163
JONATHAN EDWARD DICANDILO
POTTSTOWN, PA
NPI
1710264163
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: PA rt002231a)
Enumeration Date
2011-11-14
Last Update Date
2011-11-14
Business Address
-- JONATHAN EDWARD DICANDILO ATC, CSCS
324 HIGHLAND RD
POTTSTOWN, PA 19464-4408
Phone number: 610-705-0630
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Mailing Address
-- JONATHAN EDWARD DICANDILO ATC, CSCS
324 HIGHLAND RD
POTTSTOWN, PA 19464-4408
Phone number:
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