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Individual

KYLIE MCCUSKER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MS, LAT, ATC

Contact information

Practice address
271 GARRISONS CIR, SMYRNA, DE 19977-1832
(302) 480-6491
Mailing address
271 GARRISONS CIR, SMYRNA, DE 19977-1832

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
J3-0010890
DE

Other

Enumeration date
07/11/2023
Last updated
07/11/2023
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