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Individual

MRS. BETH ANNE OUDIN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
ATC, CSCS

Contact information

Practice address
100 COLLEGE DR, ALLENTOWN, PA 18104-6132
(610) 606-4666
Mailing address
4659 SCHIMMEL CT, WHITEHALL, PA 18052-1420

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
RT002075A
PA

Other

Enumeration date
03/15/2007
Last updated
07/08/2007
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