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Individual

MRS. ERIKA IRWIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ATC

Contact information

Practice address
1195 N LUPINE CT, CANBY, OR 97013-2935
(808) 230-0938
Mailing address
1195 N LUPINE CT, CANBY, OR 97013-2935
(808) 230-0938

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT-AT-10133552
OR

Other

Enumeration date
03/31/2016
Last updated
03/31/2016
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