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Individual
KRISTINA MARIE EILBACHER
Active
Individual
KRISTINA MARIE EILBACHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C, LATC, CSCS
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
000669
CT
2255A2300X
Athletic Trainer
001924-1
NY
363AS0400X
Surgical Physician Assistant
Primary
0010-05259
NC
Other
Enumeration date
10/29/2011
Last updated
10/03/2016
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