Individual
GRACIE CLARE SEVIGNY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
200 STANTON AVE UNIT 613, AMES, IA 50014-6809
(612) 202-2383
Mailing address
200 STANTON AVE UNIT 613, AMES, IA 50014-6809
(612) 202-2383
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
05/16/2023
Last updated
05/16/2023
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