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Individual

MRS. KATHERINE LAGUENS HADDOCK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
ATC/L, OTC

Contact information

Practice address
1040 GULF BREEZE PKWY, SUITE 210, GULF BREEZE, FL 32561-7809
(850) 916-8782
(850) 916-8458
Mailing address
1040 GULF BREEZE PKWY, SUITE 210, GULF BREEZE, FL 32561-7809
(850) 916-8782
(850) 916-8458

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AL2766
FL

Other

Enumeration date
07/27/2013
Last updated
07/27/2013
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