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Individual

MS. KYLIE J AMMEL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
33 MORGAN DR, LEBANON, NH 03766-1408
(603) 643-7788
(603) 643-0022
Mailing address
PO BOX 727, LEBANON, NH 03766-0727
(603) 643-7788
(603) 643-0022

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary

Other

Enumeration date
09/05/2007
Last updated
09/05/2007
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