Individual
DEBRA OLAYINKA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
10181 HAWTHORNE RIDGE RD, GOODRICH, MI 48438-9061
(810) 577-5289
Mailing address
10181 HAWTHORNE RIDGE RD, GOODRICH, MI 48438-9061
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2601000656
MI
Other
Enumeration date
01/05/2015
Last updated
01/05/2015
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