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ALEXIS BLUNK

Athletic Trainer >> Specialist/Technologist >> Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Registrant NPI Number: 1801240668

Individual Registrant:
 ALEXIS  BLUNK 
Gender: F
Not Sole Proprietor

Location and contact information for practice:
9239 E CINDERELLA DR  CROMWELL, IN 46732-9660 US
Tel: 574-528-1300  Fax: --

Contact information for business:
9239 E CINDERELLA DR  CROMWELL, IN 46732-9660 US
Tel: --  Fax: --

Registration Information:
NPI: 1801240668
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Specialist/Technologist
Athletic Trainer

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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