Individual
MS. KATHERENE M LARUE-MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AT, MPH
Contact information
Practice address
172 HILLCREST DR, SPRINGBORO, OH 45066-8416
(937) 748-3079
Mailing address
172 HILLCREST DR, SPRINGBORO, OH 45066-8416
(740) 815-2618
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
0002904
OH
Other
Enumeration date
05/07/2010
Last updated
04/10/2019
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