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1003442195
KAITLYN PAIGE HARRISON
FORT WORTH, TX
NPI
1003442195
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: TX AT8084)
Enumeration Date
2020-03-20
Last Update Date
2020-03-20
Business Address
KAITLYN PAIGE HARRISON LAT, ATC
3608 CLARY AVE
FORT WORTH, TX 76111-4818
Phone number: 817-584-0910
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Mailing Address
KAITLYN PAIGE HARRISON LAT, ATC
3608 CLARY AVE
FORT WORTH, TX 76111-4818
Phone number: 817-584-0910
Copy
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