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Individual

DR. GIAMPIETRO LUCIANO VAIRO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PHD, ATC

Contact information

Practice address
146 J RECREATION BLDG, THE PENNSYLVANIA STATE UNIVERSITY, UNIVERSITY PARK, PA 16802
(814) 865-2725
(814) 865-1151
Mailing address
642 OAKWOOD AVE, D, STATE COLLEGE, PA 16803-2650
(412) 225-5276
(814) 865-7936

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
25MT00128500
NJ
2255A2300X
Athletic Trainer
Primary
RT003136
PA

Other

Enumeration date
02/07/2006
Last updated
01/28/2015
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