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Individual

NICHOLAS SMULL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LAT, ATC, CSCS

Contact information

Practice address
2030 HIGHLAND AVE, BETHLEHEM, PA 18020-8963
(610) 861-8080
Mailing address
1696 JACKSON ST, WHITEHALL, PA 18052-4174
(570) 730-8573

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
RT005127
PA

Other

Enumeration date
07/24/2017
Last updated
07/24/2017
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