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1992579536
GRACE LUNDVALL
BETHLEHEM, PA
NPI
1992579536
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist Athletic Trainer
(Licence: PA RT008191)
Enumeration Date
2023-11-14
Last Update Date
2023-11-14
Business Address
GRACE LUNDVALL ATC
801 OSTRUM ST STE 1
BETHLEHEM, PA 18015-1065
Phone number: 866-785-8537
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Mailing Address
GRACE LUNDVALL ATC
529 S CENTRE ST APT 5
POTTSVILLE, PA 17901-3535
Phone number: 717-303-9060
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