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Individual

MS. MOLLY MICHELLE MCDONALD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
ATC, LAT

Contact information

Practice address
605 WASHINGTON ST, FAYETTE, IA 52142-9206
(563) 425-5382
(563) 425-5334
Mailing address
509 BAKER DR, CEDAR FALLS, IA 50613-1708
(563) 380-4945
(563) 425-5334

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
00467
IA

Other

Enumeration date
03/20/2007
Last updated
07/08/2007
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