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Individual

MAREN C. CARROLL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ATC, LAT

Contact information

Practice address
1400 W DONALD ST, WATERLOO, IA 50703-1624
(719) 660-3222
Mailing address
1400 W DONALD ST, WATERLOO, IA 50703-1624
(719) 660-3222

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
093132
IA

Other

Enumeration date
07/15/2020
Last updated
07/15/2020
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