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Individual

KATELYN DEZENZO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ATC

Contact information

Practice address
BATES COLLEGE, 130 CENTRAL AVENUE, LEWISTON, ME 04240
(207) 786-6470
(207) 755-5839
Mailing address
65 N HARVARD ST, DILLON FIELD HOUSE, BOSTON, MA 02163-1010
(617) 495-2200

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2763
MA

Other

Enumeration date
12/10/2013
Last updated
12/23/2024
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