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1083146070
CASEY DONOVAN
LAPEER, MI
NPI
1083146070
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: MI 2601001496)
Enumeration Date
2017-03-30
Last Update Date
2017-03-30
Business Address
-- CASEY DONOVAN ATC, CSCS
1816 ROOSTER TRL
LAPEER, MI 48446-9342
Phone number: 810-338-5663
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Mailing Address
-- CASEY DONOVAN ATC, CSCS
1816 ROOSTER TRL
LAPEER, MI 48446-9342
Phone number: 810-338-5663
Copy
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