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1023547726
JOSHUA DEAN HEINES
LOUISVILLE, KY
NPI
1023547726
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist Athletic Trainer
(Licence: KY AT1166)
Enumeration Date
2017-06-06
Last Update Date
2017-06-06
Business Address
JOSHUA DEAN HEINES MA, ATC
4420 DIXIE HWY
LOUISVILLE, KY 40216-2988
Phone number: 502-447-2750
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Mailing Address
JOSHUA DEAN HEINES MA, ATC
4420 DIXIE HWY STE 122
LOUISVILLE, KY 40216-2986
Phone number: 502-447-2750
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