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Individual

DANIELLE MARIE LANG

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ATC

Contact information

Practice address
2518 QUARTERMASTER STREET, FAYETTEVILLE, NC 28311
(610) 780-4405
Mailing address
252 STEEPLE RIDGE DR, CAMERON, NC 28326-6615
(610) 780-4405

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
224987
AK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
224987
ATHLETICTRAININGLICENSE
AK
Enumeration date
06/04/2018
Last updated
12/10/2025
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