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Individual
DR. KIRA LEANN OLDS
Active
Individual
DR. KIRA LEANN OLDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
096.002492
IL
2255A2300X
Athletic Trainer
Primary
A001136
MD
Other
Enumeration date
09/15/2008
Last updated
09/16/2021
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