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1952484669
TIFFANY LYN LEBENGOOD
LEWISBURG, PA
NPI
1952484669
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: PA RT002024A)
Enumeration Date
2006-10-24
Last Update Date
2007-07-08
Business Address
Miss TIFFANY LYN LEBENGOOD MS, ATC
MOORE AVENUE BUCKNELL UNIVERSITY - KLARC
LEWISBURG, PA 17837
Phone number: 570-577-3049
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Mailing Address
Miss TIFFANY LYN LEBENGOOD MS, ATC
410 N 4TH ST
LEWISBURG, PA 17837-1106
Phone number: 570-523-0890
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