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Individual

STACY JEAN DOWNAR

Active
Sole proprietor

Provider details

NPI number
Gender
F
Credential
MS, LAT, ATC

Contact information

Practice address
601 S COLLEGE RD, WILMINGTON, NC 28403-3201
(910) 962-7418
(910) 962-3002
Mailing address
809 NATURE TRAIL DR, APT. 7, WILMINGTON, NC 28405-1286
(910) 792-0358

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
1025
NC

Other

Enumeration date
05/24/2006
Last updated
07/08/2007
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