Individual
AVA KORINKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
701 E 17TH ST, BLOOMINGTON, IN 47408-1578
(925) 451-9270
Mailing address
2036 N WALNUT ST APT C7, BLOOMINGTON, IN 47404-2440
(925) 451-9270
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
10/28/2019
Last updated
10/28/2019
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