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Individual

ENA-LYNNETTE BOLLING II

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
200 PROSPECT ST, EAST STROUDSBURG, PA 18301-2956
(570) 422-2862
Mailing address
83 W 7TH ST, BURLINGTON, NJ 08016-3231

Taxonomy

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

Other

Enumeration date
02/09/2020
Last updated
02/09/2020
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