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Individual

MR. JEFFREY D WEBSTER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
ATC

Contact information

Practice address
5091 STATION RD, JUNKER CENTER, ERIE, PA 16563-0002
(814) 898-6340
(814) 898-7287
Mailing address
5124 KATES WAY, ERIE, PA 16509-7610
(814) 824-4807

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
RT001931A
PA

Other

Enumeration date
03/19/2007
Last updated
07/08/2007
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