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Individual

MR. CALVIN WOODROW KELLER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LAT-ATC

Contact information

Practice address
3507 MIDWAY SCHOOL RD, WINSTON SALEM, NC 27107-8741
(336) 474-8280
Mailing address
18 LODGE DR, THOMASVILLE, NC 27360-2802
(336) 906-2202

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
LAT-0810
NC

Other

Enumeration date
05/13/2020
Last updated
05/13/2020
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