Individual
CAROL ANN-RUDER GATES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
A.T.C
Contact information
Practice address
106 E MAIN ST, SPRING ARBOR, MI 49283-9701
(517) 750-6506
(517) 750-2745
Mailing address
514 PARK RD, JACKSON, MI 49203-4526
(517) 796-0748
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
02/15/2007
Last updated
07/08/2007
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