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Individual

MS. MITZI KIM DUSIN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MS, ATC

Contact information

Practice address
1800 NEW LONDON TPKE, APT. E-10, WEST WARWICK, RI 02893-5448
(401) 823-1275
(401) 874-4804
Mailing address
1800 NEW LONDON TPKE, APT. E-10, WEST WARWICK, RI 02893-5448
(401) 823-1275
(401) 874-4804

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT00213
RI

Other

Enumeration date
03/12/2007
Last updated
07/08/2007
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