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Individual

MRS. SARA KAY MICHAUD

Active
Sole proprietor

Provider details

NPI number
Gender
F
Credential
MS, LATC

Contact information

Practice address
516 W MAIN ST, FORT KENT, ME 04743-2121
(207) 834-7572
(207) 834-7825
Mailing address
516 W MAIN ST, FORT KENT, ME 04743-2121
(207) 834-7572
(207) 834-7825

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT222
ME

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
AT222
STATE LICENSE ATHLETIC TR
ME
Enumeration date
04/20/2006
Last updated
07/08/2007
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