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Individual

MOLLIE COE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
AT

Contact information

Practice address
1185 HIDEAWAY VALLEY DR, UNIT 12, HARBOR SPRINGS, MI 49740-8400
(231) 330-1412
(231) 238-2303
Mailing address
1185 HIDEAWAY VALLEY DR, UNIT 12, HARBOR SPRINGS, MI 49740-8400
(231) 330-1412
(231) 238-2303

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2601000371
MI

Other

Enumeration date
12/14/2015
Last updated
12/14/2015
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