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Individual

ALLISON NICOLE STANDISH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ATC

Contact information

Practice address
125 ROUTE 340, SPARKILL, NY 10976-1050
(845) 398-4057
(845) 398-4071
Mailing address
78 ATWATER ST, WEST HAVEN, CT 06516-5308
(203) 933-5607

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary

Other

Enumeration date
08/05/2014
Last updated
08/05/2014
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