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1902870389
WALTER G. LIST
VILLANOVA, PA
NPI
1902870389
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: PA RT003571)
Enumeration Date
2006-02-14
Last Update Date
2007-07-08
Business Address
Mr. WALTER G. LIST A.T.C.
800 E LANCASTER AVE
VILLANOVA, PA 19085-1603
Phone number: 610-519-7430
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Mailing Address
Mr. WALTER G. LIST A.T.C.
563 APPLEWOOD DR
FORT WASHINGTON, PA 19034-3017
Phone number:
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