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Individual

KRISTEN MARIE LAMADELEINE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ATHLETIC TRAINER

Contact information

Practice address
166 WATERBURY RD, PROSPECT, CT 06712-1200
(203) 758-4118
(203) 758-7856
Mailing address
166 WATERBURY RD, PROSPECT, CT 06712-1200
(203) 758-4118
(203) 758-7856

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
000035
CT

Other

Enumeration date
09/21/2006
Last updated
07/08/2007
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