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1902258197
GERALD CONRAD
EAST STROUDSBURG, PA
NPI
1902258197
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
Enumeration Date
2016-07-12
Last Update Date
2016-07-12
Business Address
-- GERALD CONRAD ATC
200 PROSPECT ST
EAST STROUDSBURG, PA 18301-2956
Phone number: 570-422-3536
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Mailing Address
-- GERALD CONRAD ATC
PO BOX 372
STROUDSBURG, PA 18360-0372
Phone number: 440-409-8891
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