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Kayleen Laurendi

Student in an Organized Health Care Education/Training Program in Melbourne, FL. Individual provider (NPI-1).

NPI number1750822011
StatusActive
Last updated in NPPESMar 19, 2017

Details

NPI
1750822011
Entity type
Individual (NPI-1)
Name
Kayleen Laurendi
Sex
Female
Sole proprietor
No
Enumeration date
Mar 19, 2017
Last updated
Mar 19, 2017

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
390200000X Student in an Organized Health Care Education/Training Program–FLYes
2255A2300X Specialist/Technologist, Athletic Trainer––

Practice location

2489 Kingdom Ave
Melbourne, FL 32934-7585

Phone 321-302-2274

Mailing address

2489 Kingdom Ave
Melbourne, FL 32934-7585

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