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Individual

MRS. SARAH ELIZABETH GORSKI

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ATC

Taxonomy

Speciality
Code
Description
License number
State
246Q00000X
Pathology Specialist/Technologist
Primary
36000961A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
3600961A
ATHLETIC TRAINER
IN
Enumeration date
06/18/2007
Last updated
07/08/2007
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