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1104003870
ELLEN MARIE WILSON
AMBRIDGE, PA
NPI
1104003870
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist Athletic Trainer
(Licence: PA RT004121)
Enumeration Date
2008-01-24
Last Update Date
2008-01-24
Business Address
ELLEN MARIE WILSON ATC
909 DUSS AVE
AMBRIDGE, PA 15003-2060
Phone number: 724-266-2833
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Mailing Address
ELLEN MARIE WILSON ATC
909 DUSS AVE
AMBRIDGE, PA 15003-2060
Phone number:
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