MISS Kaitlyn Marie Gustafson

NPI #1811445810 in Endwell, New York

Provider Information

NPI Number
1811445810
Entity Type
Individual
Name
MISS Kaitlyn Marie Gustafson
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Student in an Organized Health Care Education/Training Program
Enumeration Date
Sep 19, 2016
Last Updated
Sep 19, 2016

Practice Location

Address
969 DEBONAIR DR
ZIP Code
13760-1640
Phone
(607) 321-1236

Specialties & Taxonomy Codes

Specialty
Specialist/Technologist - Athletic TrainerAthletic Trainer
Student in an Organized Health Care Education/Training Program

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