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Individual

MR. ROBERT A STELMA

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
A.T.C. AND C.S.C.S.

Contact information

Practice address
383 WINOLA AVE, KINGSTON, PA 18704-5124
(570) 714-3622
(570) 714-8423
Mailing address
383 WINOLA AVE, KINGSTON, PA 18704-5124
(570) 714-3622
(570) 714-8423

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
RT001535A
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
RT001535A
PA ATHLETIC TRAINERS LIC.
PA
Enumeration date
02/07/2006
Last updated
07/08/2007
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