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Individual

NINA SEBASTIAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
393 CHESTNUT RD, EAST LANSING, MI 48824-5401
(517) 355-5250
Mailing address
960 KERN RD, FOWLERVILLE, MI 48836-8223

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary

Other

Enumeration date
09/26/2019
Last updated
09/26/2019
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