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Individual

MRS. KAITLYN NICOLE PALEVO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MS, ATC, LAT

Contact information

Practice address
5151 PARK AVE, FAIRFIELD, CT 06825-1090
(203) 365-7672
(203) 365-4704
Mailing address
28 MCNEIL TER, STRATFORD, CT 06614-3946
(617) 285-1655

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
000584
CT

Other

Enumeration date
08/17/2017
Last updated
12/30/2020
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