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Individual

KACIE CAROLINE WELCH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
12503 USF BULL RUN DRIVE, TAMPA, FL 33620-0001
(478) 550-8343
Mailing address
1925 CRAPE MYRTLE LOOP APT 207, LUTZ, FL 33549-4009

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AL4569
FL

Other

Enumeration date
01/16/2024
Last updated
01/16/2024
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