Individual
ANNEMARIE GUEST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1025 E 7TH ST # 111, BLOOMINGTON, IN 47405-7109
(609) 457-8412
Mailing address
1116 N WALNUT ST, APT C, BLOOMINGTON, IN 47404-3568
(609) 457-8412
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
36002309A
IN
Other
Enumeration date
04/20/2015
Last updated
04/20/2015
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