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1043630189
MARTIN ERLE
MEDIA, PA
NPI
1043630189
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: PA RT001387A)
Enumeration Date
2014-04-16
Last Update Date
2014-04-16
Business Address
-- MARTIN ERLE LAT, ATC
25 YEARSLEY MILL RD
MEDIA, PA 19063-5522
Phone number: 610-892-1296
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Mailing Address
-- MARTIN ERLE LAT, ATC
206 FAIRFIELD CT
WEST CHESTER, PA 19382-6606
Phone number: 610-574-5289
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