Individual
MACKENZIE ANNE CHAMBERLAIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
U179 STATE ROUTE 108, NAPOLEON, OH 43545-9765
(419) 579-0857
Mailing address
U179 STATE ROUTE 108, NAPOLEON, OH 43545-9765
(419) 579-0857
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/24/2016
Last updated
04/24/2016
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