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Individual

ANITA LYNNE GROOVER-SMITH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LAT/ATC

Contact information

Practice address
3931 WILLIAM PENN HIGHWAY, JUNIATA HIGH SCHOOL, MIFFLINTOWN, PA 17059
(717) 436-2193
(717) 436-2858
Mailing address
3931 WILLIAM PENN HIGHWAY, JUNIATA HIGH SCHOOL, MIFFLINTOWN, PA 17059
(717) 436-2193
(717) 436-2858

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
RT001192A
PA

Other

Enumeration date
06/19/2014
Last updated
06/20/2014
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