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Individual

MS. KASEY ACITO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LAT, ATC

Contact information

Practice address
790 REMINGTON BLVD, BOLINGBROOK, IL 60440-4909
(855) 692-8478
Mailing address
1013 W CENTRAL AVE, DAVIDSONVILLE, MD 21035-2315
(443) 534-4073

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
A00577
MD

Other

Enumeration date
06/21/2016
Last updated
06/21/2016
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