WESLEY R. MALLICONE

SHIPPENSBURG, PA
NPI1841287430
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: PA  RT002265A)
Enumeration Date2005-09-29
Last Update Date2007-07-08
Business Address
Mr. WESLEY R. MALLICONE MS, ATC
1871 OLD MAIN DR
SHIPPENSBURG, PA 17257-2200
Phone number: 717-477-1749
Mailing Address
Mr. WESLEY R. MALLICONE MS, ATC
323 FORT ST APT.# 6
SHIPPENSBURG, PA 17257-1455
Phone number: 717-816-3355
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