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Individual

CARA CAPOZUCCA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
450 BROAD STREET, PITTSTON TWP., PA 18640
(570) 237-2236
Mailing address
450 BROAD STREET, PITTSTON TWP., PA 18640
(570) 237-2236

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2000022007
PA

Other

Enumeration date
07/17/2015
Last updated
07/17/2015
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