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Individual

ERICA BLAIR DODGE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ATC

Contact information

Practice address
1 MEDICAL CENTER BLVD, CCMC, POB II, SUITE 324, UPLAND, PA 19013
(610) 876-0347
Mailing address
1 MEDICAL CENTER BLVD, CCMC, POB II, SUITE 324, UPLAND, PA 19013

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
RTO000336
PA

Other

Enumeration date
12/03/2017
Last updated
03/17/2018
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