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Individual

MAKINI CRUICKSHANK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1431 E 108TH ST, APT D, BROOKLYN, NY 11236-4666
(407) 920-1761
Mailing address
1431 E 108TH ST, APT D, BROOKLYN, NY 11236-4666
(407) 920-1761

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
002960-1
NY

Other

Enumeration date
04/06/2017
Last updated
04/06/2017
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