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Individual

KENNADY REULAND

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
6612 NW 42ND ST, BOX # 2166, BETHANY, OK 73008-2764
(949) 573-7846
Mailing address
29691 MONARCH DR, SAN JUAN CAPISTRANO, CA 92675-1425

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
04/13/2016
Last updated
04/13/2016
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