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Individual

SUSAN DAWN MEHALLICK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
ATC/L

Contact information

Practice address
1005 CAMPUS CIRCLE, HERMITAGE, PA 16148
(724) 346-2677
Mailing address
3127 SPRINGWOOD DR., SHARPSVILLE, PA 16150
(724) 962-3125

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
RT003647
PA

Other

Enumeration date
01/08/2010
Last updated
01/08/2010
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