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Individual

MARITZA E CHAVEZ STAHLY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LAT, ATC

Contact information

Practice address
1824 DORCHESTER CT STE A, GOSHEN, IN 46526-6819
(574) 534-2548
Mailing address
318 W OAKRIDGE AVE, GOSHEN, IN 46528-2652

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
36002466A
IN

Other

Enumeration date
12/31/2018
Last updated
12/31/2018
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