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Individual

CAILTIN MARIE O'BRIEN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
110 S MADISON ST, ADRIAN, MI 49221-2518
(508) 322-0512
Mailing address
18 LILLIAN WAY, CARVER, MA 02330-1137
(508) 322-0512

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2601002197
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
2601002197
ATHLETIC TRAINING BOC
MI
Enumeration date
09/11/2019
Last updated
09/11/2019
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