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Individual

KELLY DAWN MICHAUD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
4600 KIETZKE LANE, SUITE J-212, RENO, NV 89502-1942
(775) 348-9047
Mailing address
4600 KIETZKE LANE, SUITE J-212, RENO, NV 89502-1942
(775) 348-9047

Taxonomy

Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary

Other

Enumeration date
09/06/2011
Last updated
04/20/2017
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