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1952601015
NIKOLA LEONORA PHILLIP
BETHLEHEM, PA
NPI
1952601015
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: PA RT004873)
Enumeration Date
2010-10-22
Last Update Date
2010-10-22
Business Address
Miss NIKOLA LEONORA PHILLIP ATC
3835 GREEN POND RD
BETHLEHEM, PA 18020-7568
Phone number: 610-332-8692
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Mailing Address
Miss NIKOLA LEONORA PHILLIP ATC
2140 JOHNSTON DR APT 5
BETHLEHEM, PA 18020-3386
Phone number: 484-661-3626
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