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Individual

ABIGAIL LEE TRAPP

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
120 E 2ND ST, ERIE, PA 16507-1537
(814) 877-5600
Mailing address
120 E 2ND ST, ERIE, PA 16507-1537
(814) 877-5600

Taxonomy

Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
5903
AZ
363AS0400X
Surgical Physician Assistant
Primary
MA058811
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
984306
AZ
01
Z173038
MC PTAN
AZ
Enumeration date
12/02/2014
Last updated
02/01/2017
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