Individual
MISS KAYLA CORIELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
100 BURRO ST UNIT A, MINFORD, OH 45653-8948
(740) 820-2714
Mailing address
100 BURRO ST UNIT A, MINFORD, OH 45653-8948
(740) 820-2714
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
03/16/2015
Last updated
03/16/2015
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