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Individual

MRS. CARRIE ANN DUDLEY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MS, AT

Contact information

Practice address
4056 QUAKERBRIDGE RD, LAWRENCEVILLE, NJ 08648-4779
(609) 588-8600
Mailing address
52 WINSTEAD DR, WESTAMPTON, NJ 08060-5752
(609) 529-6383

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
25MT00129300
NJ
246Z00000X
Other Specialist/Technologist
RT005501
PA

Other

Enumeration date
02/14/2007
Last updated
09/03/2013
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