Individual
MRS. GAIL COOPER MCCLELLAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
A.T.,C
Contact information
Practice address
32 S MAIN ST, CLARKSTON, MI 48346-1526
(248) 922-9001
Mailing address
6088 SOUTHWARD AVE, WATERFORD, MI 48329-1436
(248) 802-6542
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2601000051
MI
Other
Enumeration date
11/02/2011
Last updated
11/02/2011
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