Individual
AUDREY RUTH VAN AUKEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6789 PINE ST, CASS CITY, MI 48726-1548
(989) 912-9701
Mailing address
6789 PINE ST, CASS CITY, MI 48726-1548
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
09/08/2017
Last updated
09/08/2017
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