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Individual

SARAH MIDDLEBROOKS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
AT

Contact information

Practice address
1 CHILDRENS PLZ, DAYTON, OH 45404-1873
(937) 641-3883
Mailing address
2108 SOUTHDOWN CT, XENIA, OH 45385-7083

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
005000
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
005000
OHIO AT LICENSE NUMBER
OH
Enumeration date
08/05/2016
Last updated
02/04/2019
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