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Individual

SOPHIA ROSE DUGAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
701 E 17TH ST, BLOOMINGTON, IN 47408-1578
(812) 855-4509
Mailing address
743 MILLBROOK DR, AVON, IN 46123-7449
(765) 719-3082

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary

Other

Enumeration date
03/10/2022
Last updated
03/10/2022
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