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LORAN STRUNK ATC

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

Registrant NPI Number: 1881094514

Individual Registrant:
 LORAN  STRUNK ATC
Gender: F
Sole Proprietor

Location and contact information for practice:
121 DOG BRANCH RD  EAST PALATKA, FL 32131-4162 US
Tel: 386-328-3630  Fax: --

Contact information for business:
PO BOX 1183  EAST PALATKA, FL 32131-1183 US
Tel: 386-328-3630  Fax: --

Registration Information:
NPI: 1881094514
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Specialist/Technologist
Athletic Trainer
SCSC034984

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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