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Individual

MRS. MAUREEN MARIE CORRISTAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LAT,CSCS,PES-NASM

Contact information

Practice address
2750 BAHIA VISTA ST, SUITE 101, SARASOTA, FL 34239-2600
(941) 330-0606
(941) 330-0012
Mailing address
6457 KAHANA WAY, SARASOTA, FL 34241-5526
(941) 320-6507

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AL 573
FL

Other

Enumeration date
01/03/2007
Last updated
07/08/2007
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