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Individual

KRISTEN K SASENA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MS, LAT, ATC, CEIS

Contact information

Practice address
3612 WASHINGTON ST, COLUMBUS, IN 47203-1217
(812) 376-7028
Mailing address
3612 WASHINGTON ST, COLUMBUS, IN 47203-1217

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
36001664A
IN

Other

Enumeration date
11/22/2011
Last updated
11/22/2011
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