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Individual

MEAGHAN EILEEN WILDASIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LAT, ATC

Contact information

Practice address
1800 BANNISTER ST, YORK, PA 17404-4917
(717) 817-2831
Mailing address
750 MENGES MILLS RD, SPRING GROVE, PA 17362-9181
(908) 507-1868

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
RTO000096
PA

Other

Enumeration date
03/01/2018
Last updated
03/01/2018
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