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Individual

KELLY CARROLL LARGENT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
ATC

Contact information

Practice address
10109 SLEE RD, ONSTED, MI 49265-9701
(517) 442-4699
Mailing address
10109 SLEE RD, ONSTED, MI 49265-9701

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2601001065
MI

Other

Enumeration date
11/25/2014
Last updated
11/25/2014
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