CANDACE DOUGLAS

KETTERING, OH
NPI1265846638
Former NameCANDACE BAKER
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: OH  AT.003574)
Enumeration Date2014-06-13
Last Update Date2014-06-13
Business Address
-- CANDACE DOUGLAS MA,ATC
5450 MONTGOMERY SQUARE DR APT G
KETTERING, OH 45440-2952
Phone number: 937-367-3200
Mailing Address
-- CANDACE DOUGLAS MA,ATC
5450 MONTGOMERY SQUARE DR APT G
KETTERING, OH 45440-2952
Phone number: 937-367-3200
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