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Individual

LANA MINK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ATC/EMT-B

Contact information

Practice address
92-654 AOLOKO ST, KAPOLEI, HI 96707-1152
(808) 551-0698
Mailing address
92-654 AOLOKO ST, KAPOLEI, HI 96707-1152

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
120202101
HI

Other

Enumeration date
09/16/2015
Last updated
09/16/2015
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