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Individual

ZACHARY WANOUS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
101 N COLLEGE AVE, ANNVILLE, PA 17003-1400
(866) 582-4236
Mailing address
641 W MAIN ST, EPHRATA, PA 17522-1718

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary

Other

Enumeration date
08/27/2024
Last updated
08/27/2024
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