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Individual

MISS KRISTIN ANN TROTTER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.S. ATC

Contact information

Practice address
SIU ARENA 118, CARBONDALE, IL 62901
(618) 453-4855
(618) 453-4173
Mailing address
SIU ARENA 118, MAILCODE 6620, CARBONDALE, IL 62901
(618) 453-4855
(618) 453-4173

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
096.002276
IL

Other

Enumeration date
11/30/2011
Last updated
11/30/2011
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