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1841025418
THEODORE DALE MARTIN
ERIE, PA
NPI
1841025418
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: PA SP030516)
Enumeration Date
2024-09-04
Last Update Date
2024-09-25
Business Address
THEODORE DALE MARTIN CRNP
7200 PEACH ST UNIT 16
ERIE, PA 16509-4756
Phone number: 814-877-4110
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Mailing Address
THEODORE DALE MARTIN CRNP
7200 PEACH ST UNIT 16
ERIE, PA 16509-4756
Phone number:
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