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Individual

MR. BRIAN SCOTT WAITER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
308 GOLDFINCH LN, HUMMELSTOWN, PA 17036-8859
(717) 645-6588
Mailing address
308 GOLDFINCH LN, HUMMELSTOWN, PA 17036-8859
(717) 645-6588

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary

Other

Enumeration date
04/07/2022
Last updated
04/07/2022
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