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1710438742
DERRICK WINTERS
WILLIAMSPORT, PA
NPI
1710438742
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: PA RT004797)
Enumeration Date
2016-10-14
Last Update Date
2016-10-14
Business Address
-- DERRICK WINTERS ATC, LAT
1347 CATHERINE ST
WILLIAMSPORT, PA 17701-2513
Phone number: 570-329-6850
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Mailing Address
-- DERRICK WINTERS ATC, LAT
1347 CATHERINE ST
WILLIAMSPORT, PA 17701-2513
Phone number: 570-329-6850
Copy
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