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Individual

ALEX KIVINIEMI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
101 N COLLEGE AVE, ANNVILLE, PA 17003-1404
(717) 376-4108
Mailing address
101 N COLLEGE AVE, ANNVILLE, PA 17003-1404
(717) 376-4108

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary

Other

Enumeration date
10/03/2022
Last updated
10/03/2022
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