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Individual

MISS KATELYNN ANNE STAHL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
AT

Contact information

Practice address
1 BUCKEYE DR, NELSONVILLE, OH 45764-9591
(740) 753-4441
Mailing address
363 RICHLAND AVE, APT. 204, ATHENS, OH 45701-3210
(419) 921-6833

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT.004713
OH

Other

Enumeration date
07/30/2015
Last updated
07/30/2015
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