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Individual

CAITLIN O'CONNOR

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MS, LAT, ATC

Contact information

Practice address
974 VANDORA SPRINGS RD, GARNER, NC 27529-3544
(919) 779-6540
Mailing address
862 CUPOLA DR, RALEIGH, NC 27603-3444

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
1349
NC

Other

Enumeration date
11/05/2016
Last updated
11/05/2016
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