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CLAIRE NICOLE SICELOFF

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ATC

Contact information

Practice address
2092 S SHERWOOD DR APT 121, VALDOSTA, GA 31602-2249
(804) 837-2516
Mailing address
2092 S SHERWOOD DR APT 121, VALDOSTA, GA 31602-2249
(804) 837-2516

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT003040
GA

Other

Enumeration date
04/10/2019
Last updated
04/10/2019
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