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Individual
MS. LEA M VANDEGRIFT
Active
Individual
MS. LEA M VANDEGRIFT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.ED., LAT, ATC
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
RT004739
PA
Other
Enumeration date
01/26/2012
Last updated
03/17/2018
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