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Individual

MELISSA M MARKS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
ATC

Contact information

Practice address
30 WATER ST, FLEETWOOD, PA 19522-8631
(610) 463-4996
Mailing address
30 WATER ST, FLEETWOOD, PA 19522-8631
(610) 463-4996

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
RT004333
PA

Other

Enumeration date
05/21/2009
Last updated
05/21/2009
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