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Individual

KELSEY ANNE WAKEFIELD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
ATC

Contact information

Practice address
601 S CONKLIN ST, SPOKANE, WA 99202-2320
(509) 869-2199
Mailing address
601 S CONKLIN ST, SPOKANE, WA 99202-2320
(509) 869-2199

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2000005562
WA

Other

Enumeration date
11/24/2014
Last updated
11/24/2014
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