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Individual

KELLY LINVILLE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
ATC

Contact information

Practice address
568 MAIN ST, SUITE 2, FRYEBURG, ME 04037-1146
(207) 935-7770
Mailing address
PO BOX 602, NORTH CONWAY, NH 03860-0602

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
0540
NH
2255A2300X
Athletic Trainer
Primary
AT450
ME

Other

Enumeration date
11/16/2012
Last updated
11/16/2012
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