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Organization
UNIVERSAL ATHLETIC CLUB
Active
Organization
UNIVERSAL ATHLETIC CLUB
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BLAISE CASSELBURY (DIRECTOR)
(717) 471-5424
Entity
Organization
Contact information
Practice address
2323 OREGON PIKE, LANCASTER, PA 17601-4608
(717) 569-5396
(717) 569-4989
Mailing address
2323 OREGON PIKE, LANCASTER, PA 17601-4608
(717) 569-5396
(717) 569-4989
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DN003167
PA
Other
Enumeration date
04/20/2016
Last updated
12/29/2025
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