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Individual

CORINNE ELIZABETH GADDIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ATC, ATC/L

Contact information

Practice address
825 SE BISHOP BLVD, SUITE 120, PULLMAN, WA 99163-5517
(509) 332-2828
(509) 334-7474
Mailing address
413 NW NORTH ST, PULLMAN, WA 99163-3632
(360) 672-5027

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
A160251276
WA
2255A2300X
Athletic Trainer
AT-459
ID

Other

Enumeration date
07/02/2013
Last updated
07/02/2013
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