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Ava Korinke

Specialist/Technologist, Athletic Trainer in Bloomington, IN. Individual provider (NPI-1).

NPI number1083257547
StatusActive
Last updated in NPPESOct 28, 2019

Details

NPI
1083257547
Entity type
Individual (NPI-1)
Name
Ava Korinke
Sex
Female
Sole proprietor
No
Enumeration date
Oct 28, 2019
Last updated
Oct 28, 2019

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
2255A2300X Specialist/Technologist, Athletic Trainer––Yes

Practice location

701 E 17th St
Bloomington, IN 47408-1578

Phone 925-451-9270

Mailing address

2036 N Walnut St Apt C7
Bloomington, IN 47404-2440

Phone 925-451-9270

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