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Individual

MICHEL KAY GAGE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MS, VLAT, ATC

Contact information

Practice address
1062 DALTONS DR, FOREST, VA 24551
(434) 385-1989
Mailing address
1062 DALTONS DR, FOREST, VA 24551-4726
(434) 385-1989

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
126002288
VA

Other

Enumeration date
09/27/2017
Last updated
09/27/2017
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