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Individual

COLLEEN A GRUGAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
ATC

Contact information

Practice address
201 MULLICA HILL RD, ESBJORNSON GYMNASIUM, GLASSBORO, NJ 08028-1700
(856) 256-4689
Mailing address
166 JACKSON SCHOOL RD, OXFORD, PA 19363-1268
(609) 617-4974

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
25MT00125800
NJ

Other

Enumeration date
12/14/2006
Last updated
07/08/2007
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