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Individual

ASHLEY IPPOLITO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
101 CUMMINGS DR, BRUNSWICK, MD 21716-1857
(301) 848-9825
Mailing address
1106 HARVARD RD, WALDORF, MD 20602-3408
(301) 848-9825

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
A0000545
MD

Other

Enumeration date
07/10/2014
Last updated
07/10/2014
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