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Individual

MS. KRISTA RAE SITLER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ATC

Contact information

Practice address
3351 HENDRICKS AVE, JACKSONVILLE, FL 32207-5301
(904) 402-4399
Mailing address
7632 SOUTHSIDE BLVD APT 383, JACKSONVILLE, FL 32256-7083
(330) 814-0595

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AL5415
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
AL5415
ATHLETIC TRAINER
FL
Enumeration date
03/05/2019
Last updated
03/05/2019
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