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Individual

IMANI KRYSTINE CONNER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ACT

Contact information

Practice address
3400 S FIGUEROA ST, LOS ANGELES, CA 90089-0002
(213) 740-0626
Mailing address
777 SUNSET DOWN CT, LOGANVILLE, GA 30052-7925
(678) 886-4386

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary

Other

Enumeration date
10/26/2021
Last updated
08/29/2023
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