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Individual

JACQUELINE CALLAHAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
631 S COLLEGE AVE, NEWARK, DE 19716-2010
(302) 831-4016
Mailing address
57 W DELAWARE AVE, NEWARK, DE 19711-4635

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
DE
390200000X
Student in an Organized Health Care Education/Training Program
Primary
DE

Other

Enumeration date
05/16/2022
Last updated
05/16/2022
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