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Individual

KYANNA PASTORE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ATC

Contact information

Practice address
1160 STEELWOOD RD, COLUMBUS, OH 43212-1356
(908) 448-7037
Mailing address
204 MILLER AVE, BRANCHBURG, NJ 08876-3505
(908) 448-7037

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
005937
OH
2255A2300X
Athletic Trainer
AL4917
FL

Other

Enumeration date
09/01/2017
Last updated
07/10/2019
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