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Individual

MS. CAITLIN ELISE DAVIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ATC, LAT

Contact information

Practice address
11200 GOVERNOR MANLY WAY, RALEIGH, NC 27614-8599
(919) 562-9410
Mailing address
574 COOPER GARRETT RD, MOYOCK, NC 27958-8678

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2200
NC

Other

Enumeration date
11/07/2012
Last updated
11/07/2012
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