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Individual
MR. EDMUND RONALD ANTOSZEWSKI
Active
Individual
MR. EDMUND RONALD ANTOSZEWSKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
RT004248
PA
Other
Enumeration date
04/20/2009
Last updated
04/20/2009
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