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Individual

MRS. KATHLEEN RYAN LALONDE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ATC

Contact information

Practice address
11911 CLINTON RIVER RD, STERLING HEIGHTS, MI 48313-2420
(586) 797-1653
Mailing address
3466 YARNEY RD, WATERFORD, MI 48329-2780
(248) 302-6372

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
2000000907
2255A2300X
Athletic Trainer
Primary
2601001181
MI

Other

Enumeration date
03/25/2021
Last updated
03/25/2021
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