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Individual

MAKAYLA LANDRUM

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MS,LAT,ATC,CISSN

Contact information

Practice address
503 THOMPSON ST, GAFFNEY, SC 29340-3619
(248) 259-6828
Mailing address
503 THOMPSON ST, GAFFNEY, SC 29340-3619
(248) 259-6828

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
093578
IA
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
01/17/2017
Last updated
09/04/2020
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