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Individual

CAMERON ORTYL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
ATC

Contact information

Practice address
7001 W 56TH ST, INDIANAPOLIS, IN 46254-9725
(616) 430-0986
Mailing address
4915 TALL PINES CT SE, GRAND RAPIDS, MI 49546-7920
(616) 430-0986

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary

Other

Enumeration date
04/25/2017
Last updated
04/25/2017
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