Individual
DOMINIQUE M STARR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
1923 MALCOM DR, KETTERING, OH 45420-3625
(440) 864-9449
Mailing address
1923 MALCOM DR, KETTERING, OH 45420-3625
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
003999
OH
Other
Enumeration date
03/18/2015
Last updated
03/18/2015
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