Individual
BETHANY DOLEZAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
501 E HIGHWAY ST, VICKSBURG, MI 49097-1338
(308) 746-5920
Mailing address
5820 COPPER BEECH BLVD APT G, KALAMAZOO, MI 49009-5740
(308) 746-5920
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
MI
Other
Enumeration date
11/26/2019
Last updated
11/26/2019
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