Individual
KRYSTAL A GATES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
AT
Contact information
Practice address
110 E RUTH ST, SIDNEY, OH 45365-1662
(419) 572-1384
Mailing address
110 E RUTH ST, SIDNEY, OH 45365-1662
(419) 572-1384
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
003828
OH
Other
Enumeration date
05/29/2013
Last updated
05/29/2013
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