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Individual

THOMAS FUGATE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
113 COUNTRY SIDE LN, LEOLA, PA 17540-1647
(814) 771-5236
Mailing address
113 COUNTRY SIDE LN, LEOLA, PA 17540-1647
(814) 771-5236

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary

Other

Enumeration date
08/26/2022
Last updated
08/26/2022
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