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Individual

MRS. CAITLYN BUSSARD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ATC, LAT

Contact information

Practice address
1580 BUCHANAN TRL E, GREENCASTLE, PA 17225-9511
(717) 643-0574
Mailing address
15729 FAIRVIEW RD, HAGERSTOWN, MD 21740-1188
(412) 956-1317

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
RT005253
PA

Other

Enumeration date
05/22/2014
Last updated
05/22/2014
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