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Individual

MISS ROXANN M DAHL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
ATC

Contact information

Practice address
1955 W PARNALL RD, JACKSON, MI 49201-8658
(847) 702-8014
Mailing address
751 SKYNOB DR, ANN ARBOR, MI 48105-2512
(734) 669-4324

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary

Other

Enumeration date
03/17/2006
Last updated
01/06/2014
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