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Individual

MISS PAMELA JEANNE KUTELLA

Active
Sole proprietor

Provider details

NPI number
Gender
F
Credential
LAT

Contact information

Practice address
OHIO UNIVERSITY, GROVER CENTER E207, ATHENS, OH 45701
(740) 707-2238
Mailing address
2 ANDOVER RD., APT. E-4, ATHENS, OH 45701
(740) 707-2238

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary

Other

Enumeration date
02/07/2006
Last updated
07/08/2007
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