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Individual

AUBRIE ANN STOUFFER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LAT, ATC

Contact information

Practice address
801 OSTRUM ST, FOUNTAIN HILL, PA 18015-1000
(494) 526-4000
Mailing address
801 OSTRUM ST, FOUNTAIN HILL, PA 18015-1000
(484) 526-4000

Taxonomy

Speciality
Code
Description
License number
State
2083S0010X
Sports Medicine (Preventive Medicine) Physician
Primary
RT006675
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
2000024970
ATHLETIC TRAINER
Enumeration date
05/09/2019
Last updated
05/09/2019
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