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Individual

ROWAN PAIGE HAVERKAMP

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ATC

Contact information

Practice address
1 UNIVERSITY CIR, MACOMB, IL 61455-1367
(319) 325-5389
Mailing address
1 UNIVERSITY CIR, MACOMB, IL 61455-1367
(319) 325-5389

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
08/30/2017
Last updated
08/18/2020
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