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Individual

GRACE LUNDVALL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ATC

Contact information

Practice address
801 OSTRUM ST STE 1, BETHLEHEM, PA 18015-1065
(866) 785-8537
Mailing address
529 S CENTRE ST APT 5, POTTSVILLE, PA 17901-3535
(717) 303-9060

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
RT008191
PA

Other

Enumeration date
11/14/2023
Last updated
11/14/2023
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