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Individual

SHELLY R WALRAD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MS, ATC

Contact information

Practice address
3214 MAGNOLIA CIR, KALAMAZOO, MI 49008-2026
(269) 383-4602
Mailing address
3214 MAGNOLIA CIR, KALAMAZOO, MI 49008-2026
(269) 383-4602

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary

Other

Enumeration date
10/22/2007
Last updated
10/22/2007
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