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Individual

PEGGY WOLF

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MS,ATC

Contact information

Practice address
1440 KING RD, ASHLAND, OH 44805-3635
(419) 289-7968
Mailing address
710 LEXINGTON AVE, APT 3, MANSFIELD, OH 44907-1581
(419) 756-8260

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT-2191
OH

Other

Enumeration date
07/03/2006
Last updated
07/08/2007
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