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Individual

KARYN M GALLIVAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
ATC

Contact information

Practice address
30 BEACH RD, BRISTOL, RI 02809-1505
(615) 347-4717
Mailing address
30 BEACH RD, BRISTOL, RI 02809-1505
(615) 347-4717

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT00337
RI

Other

Enumeration date
02/17/2007
Last updated
02/28/2013
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